Active NPI 1710499686 Individual Practitioner Female Practitioner

Shantell Korey Hayes , FNP-C

Nurse Practitioner • Decatur, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shantell Hayes, FNP-C is a certified Nurse Practitioner practicing in Decatur, TX. With approximately 9 years of clinical experience since completing medical education in 2017, Shantell Hayes delivers high-quality medical care to the local community at 2014 BEN MERRITT DR STE A.

Shantell Hayes is affiliated with Legacy Physiatry Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, initial nursing facility visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2014 Ben Merritt Dr Ste A

Decatur, TX 762343851

Telephone 9402499009

Associated Practice Facility / Clinic

🏢 Wise Clinical Care Associates Facility NPI 1679719801

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Decatur, TX

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs +0.7 yrs vs City Avg

City Avg: 8.3 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

14 Specialists

Practicing in Decatur, TX (4894 Statewide)

Telehealth Adoption Rate

7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hayes (9 Years) 9 Yrs

Decatur Specialty Average (8.3 Years) 8.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,585	223	$223.00	$92.88
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	886	157	$332.00	$133.01
99306 Initial nursing facility visit, typically 45 minutes per day	213	198	$412.00	$157.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	249	60	$223.00	$88.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	29	$350.00	$101.18
99306 Initial nursing facility visit, typically 45 minutes per day	21	21	$412.00	$151.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	38	$350.00	$104.68
99285 Emergency department visit for life threatening or functioning severity	17	17	$1829.82	$147.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	28	$350.00	$106.16
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$290.00	$70.78
99285 Emergency department visit for life threatening or functioning severity	17	17	$2055.00	$149.34
99284 Emergency department visit with moderate level of medical decision making	11	11	$1377.00	$102.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	42	$286.79	$62.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	55	$283.30	$60.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	16	$200.00	$36.68
99284 Emergency department visit with moderate level of medical decision making	20	20	$1268.50	$97.75
99285 Emergency department visit for life threatening or functioning severity	17	17	$2029.88	$143.86
99283 Emergency department visit with low level of medical decision making	13	13	$685.77	$51.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	104	64	$290.00	$59.28
74246 X-ray of upper digestive tract with contrast	37	21	$300.00	$101.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	20	$150.00	$16.66
99285 Emergency department visit for life threatening or functioning severity	15	15	$1410.93	$143.75
99284 Emergency department visit with moderate level of medical decision making	11	11	$926.00	$97.56

Medical Specialties & State Licenses

CMS Verified: 2023-11-10

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP135654

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX AP135654

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

379841501 (TX)

Commercial Insurance / Payer ID Bcbstx

8HV879 (TX)

Hospital & Practice Group Affiliations

Legacy Physiatry Group Llc

850 Central E Pkwy, Plano, TX 750745542

Phone: 9728814688

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Meagan Bildzukewicz , PA

Physician Assistant

NPI 1225558075

Physician Assistant

Debra Mcdougall , NP

Nurse Practitioner

NPI 1417985359

Nurse Practitioner

Steven Shelton , NP

Nurse Practitioner - Gerontology

NPI 1932659018

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address April 18, 2019

Registered at PO BOX 2078, DECATUR, TX 762346156

✅

NPI Profile Active January 05, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2018

Registered at 2014 BEN MERRITT DR STE A, DECATUR, TX 762343851 (Tel: 9402499009)

📍

Updated Business Mailing Address January 05, 2018

Registered at 1221 GILLILAND RD, SPRINGTOWN, TX 760825255

👤

Provider Name / Credentials Updated January 05, 2018

Recorded as SHANTELL HAYES, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2018

Nurse Practitioner (License #AP135654 in TX)

✅

NPI Profile Active October 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 31, 2017

Registered at 1310 PALUXY RD, GRANBURY, TX 760485655 (Tel: 8175732273)

📍

Updated Business Mailing Address October 31, 2017

Registered at 1221 GILLILAND RD, SPRINGTOWN, TX 760825255

👤

Provider Name / Credentials Updated October 31, 2017

Recorded as SHANTELL HAYES, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2017

Nurse Practitioner (License #AP135654 in TX)

🟢

Initial NPI Registration & Enumeration October 31, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710499686

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 31, 2017

Last Update: November 10, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2078

Decatur, TX 762346156

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.