Individual provider Active NPI

Alysha Marie Haines, APRN

  • Family Nurse Practitioner
  • Marion, KS
National Provider Identifier
1013322163
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
76471 Issued in KS
Practice address
537 S Freeborn St
Marion, KS 66861-1243
Phone
(620) 382-2033
Fax
(620) 382-3851
NPI assigned
Jun 27, 2014
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 76471 KS Primary

Addresses

Primary practice location

537 S Freeborn St
Marion, KS 66861-1243

Mailing address

535 S Freeborn St
Marion, KS 66861-1256
Phone (620) 382-2033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825001019 KS Practitioner - Nurse Practitioner 6901024561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital District No 1 Marion CoGroup PAC ID 7517923196, 13 clinicians

Practice addresses (Care Compare)

535 S Freeborn St
Marion, KS 66861-1256
Phone (620) 382-2177

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
76471KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital District No 1 Marion Co CurrentSince Aug 13, 2014 Accepting new patients
Hospital District No 1 Marion Co CurrentSince Aug 13, 2014 Accepting new patients

Locations

535 S Freeborn St
Marion, KS 66861
Phone (620) 382-2033

537 S Freeborn St
Marion, KS 66861
Phone (620) 382-2033

Interoperability endpoints

  • Direct secure messaging: alysha.haines@khindirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGCHCD/Endpoint/IGCHCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1013322163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S FREEBORN ST",
            "city": "MARION",
            "state": "KS",
            "postal_code": "668611256",
            "telephone_number": "620-382-2033",
            "fax_number": "620-382-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 S FREEBORN ST",
            "city": "MARION",
            "state": "KS",
            "postal_code": "668611243",
            "telephone_number": "620-382-2033",
            "fax_number": "620-382-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "ALYSHA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, KS

Sources for this page

Verify at the official NPI Registry.