PATRICIA A HAYES (PA) – Physician Assistant, NPI 1104809839

PATRICIA A HAYES (PA) is a healthcare provider. based in Fond du lac, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1168 (WI). The NPI Number for PATRICIA A HAYES (PA) is 1104809839

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA A HAYES (PA)
NPI
1104809839
Phone
(920) 926-8340
Address
420 E DIVISION ST
Enumeration Date
28 November 2005
Last Update Date
21 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9209292300
Graduation Year
1999 (27 years ago)
PAC ID
1658409446
Group Practice PAC ID
1658289624
Professional Enrollment ID
I20100515000091
Address ID
WI549354560FO430XXSTXX400

Contacts

Secure Messaging
phayes332018@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,678 PHYSICIAN ASSISTANT in WI

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Provider Addresses for PATRICIA A HAYES (PA)

  • Fond-du-Lac, Northern Saskatchewan Administration District, Saskatchewan, Canada

    FOND DU LAC, WI 549354560

    Phone: (920) 926-8340

    Type: Mailing

  • 350, East Sheboygan Street, Campbellsport, Fond du Lac County, Wisconsin, 53010, United States

    CAMPBELLSPORT, WI 530102795

    Phone: (920) 533-8361

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100515000091IPhysician AssistantWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5757$0
99212Established patient office or other outpatient visit, 10-19 minutes1515$0
71046X-ray of chest, 2 views1212$0
View full utilization report →

Insurance plans in this area (ZIP 54935)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658289624View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
-WI
U R O L O G YWI
-WI
P S Y C H I A T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
Vascular Surgery, General SurgeryWI
-ND
Nephrology, Internal MedicineWI
Family PracticeWI

Reviews

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Frequently asked questions

What is the standard ID for PATRICIA A HAYES (PA) in the U.S.?
In the U.S., PATRICIA A HAYES (PA) is identified by NPI 1104809839.
Is PATRICIA A HAYES (PA) currently accepting referrals based on NPI status?
Registry metadata lists PATRICIA A HAYES (PA) as active.
How should patients interpret PATRICIA A HAYES (PA)'s specialty?
The extract shows Physician Assistant for PATRICIA A HAYES (PA). Clinical services aligned with this taxonomy classification.
Can patients visit PATRICIA A HAYES (PA) in Fond Du Lac, Wisconsin?
For routing, start with Fond Du Lac, Wisconsin for PATRICIA A HAYES (PA), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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