MS. MARCIA ANN HAYES
NPI 1891009338
Nurse Practitioner - Family in Kewaunee, WI
About Ms. Marcia Ann Hayes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARCIA ANN HAYES (NPI 1891009338) is an individual family provider in Kewaunee, Wisconsin, licensed in Wisconsin (6017-33) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Marcia Ann Hayes is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Marcia Hayes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kewaunee, WI 54216
- Reassigned Medicare billing, Wisconsin enrollment
- 875 clinicians in this Medicare group
Kewaunee, WI 54216
- Reassigned Medicare billing, Wisconsin enrollment
- 573 clinicians in this Medicare group
Easley, SC 29640
- Reassigned Medicare billing, South Carolina enrollment
- 3,281 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KEWAUNEE, WI 54216
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marcia Hayes's NPI number?
The NPI number for Marcia Hayes is 1891009338. It was assigned to this individual provider in the NPPES registry on July 26, 2010.
Where is Marcia Hayes located?
Marcia Hayes practices at 575 4th St, Kewaunee, WI 54216. The listed phone number is (920) 388-4640.
What is Marcia Hayes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marcia Hayes enrolled in Medicare?
Yes. Marcia Hayes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Marcia Hayes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marcia Hayes reassigns Medicare benefits to 3 organizations: Bellin Memorial Hospital Inc (Kewaunee, WI), Oconto Hospital & Medical Center Inc (Kewaunee, WI) and Prisma Health University Medical Group (Easley, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marcia Hayes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marcia Hayes accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Marcia Hayes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Marcia Hayes was last updated on September 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Marcia Ann Hayes · NPI 1891009338
Family physician in Kewaunee, Wisconsin. Individual provider, active in the CMS NPPES registry since July 26, 2010.
## Identity
- **NPI:** 1891009338 (Entity type: Individual)
- **Enumerated:** July 26, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 6017-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 575 4TH ST, Kewaunee, WI 54216-1785
- **Phone:** (920) 388-4640 · **Fax:** (920) 388-0479
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Bellin Memorial Hospital Inc (NPI 1699737379, Kewaunee, WI); Oconto Hospital & Medical Center Inc (NPI 1053279091, Kewaunee, WI); Prisma Health University Medical Group (NPI 1295218642, Easley, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** September 24, 2015
- **Other identifiers:** Medicare OSCAR/certification K400226031 (WI); Medicare OSCAR/certification K400164397 (WI); Medicare OSCAR/certification K400243111 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1891009338) · Data from the CMS NPPES public registry.