Active NPI
Wanda Marie Haynes, FNP-C
- Family Nurse Practitioner
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2019040422
- Practice address
- 9411 N Oak Trfy Ste 205
Kansas City, MO 64155-2229 - Phone
- (816) 691-3546
- Fax
- (816) 346-7474
- NPI assigned
- Jul 31, 2007
- Last updated
- Dec 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 111047 | NE | |
| Family Nurse Practitioner | 363LF0000X | 726951 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP07135 | LA | |
| Family Nurse Practitioner | 363LF0000X | A-123907 | IA | |
| Family Nurse Practitioner | 363LF0000X | 2019040422 | MO | Primary |
Addresses
Primary practice location
9411 N Oak Trfy Ste 205
Kansas City, MO 64155-2229
Mailing address
9411 N Oak Trfy Ste LL1
Kansas City, MO 64155-2262
Phone (816) 691-1655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47428 | Other | NE | BCBS NE |
Other names 1
- Wanda Marie Haynes
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wanda.haynes@centerwell.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9411 N Oak Trfy
Suite 205
Kansas City, MO 64155-2229
Phone (816) 691-3546
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123907 | IA | MD | Hearing Instrument Specialist |
| A-123907 | IA | MD | Family Nurse Practitioner |
| 726951 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Planned Parenthood of the Heartland, Inc | Past | Accepting new patients | |
| C H Wilkinson Physician Network | Past | Accepting new patients | |
| Pine Lake Health LLC | Past | Accepting new patients | |
| Meritas Health Corporation | Past | Accepting new patients | |
| Pine Lake Health LLC | Past | Accepting new patients |
Locations
9411 N Oak Trfy
Ste 100
Kansas City, MO 64155
Phone (816) 436-1800
9411 N Oak Trfy
Ste 205
Kansas City, MO 64155
Phone (816) 691-3546
9411 N Oak Trfy
Ste 260
Kansas City, MO 64155
Phone (816) 453-4000
9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072
Interoperability endpoints
- wanda.haynes@centerwell.eclinicaldirectplus.com
Organizations & group practices 8
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.
-
dba NKC Health
- Endocrinology, Diabetes & Metabolism Physician
- Kansas City, MO
- NPI 1104238815
-
- Neurology Physician
- Kansas City, MO
- NPI 1669323291
-
dba CHRISTUS Medical Group
- Family Medicine Physician
- Lake Charles, LA
- NPI 1295987709
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1417908666
-
dba Waverly Health Care Urgent Care
- Family Medicine Physician
- Waverly, NE
- NPI 1780814475
-
- Non-Surgical Family Planning Clinic/Center
- Iowa City, IA
- NPI 1144260027
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Harrison County Community Hospital
- Critical Access Hospital
- Bethany, MO
- NPI 1528062569
-
dba Skilled Nursing Unit
- Skilled Nursing Facility
- North Kansas City, MO
- NPI 1437103215
Hospital
-
dba NKC Health
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1235329764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9411 N OAK TRFY STE LL1",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641552262",
"telephone_number": "816-691-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9411 N OAK TRFY STE 205",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641552229",
"telephone_number": "816-691-3546",
"fax_number": "816-346-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "WANDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "111047",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "726951",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP07135",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A-123907",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2019040422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NE",
"identifier": "47428",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wanda.haynes@centerwell.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "301 E Armour Blvd Ste 2East",
"city": "Kansas City",
"state": "MO",
"country_code": "US",
"postal_code": "641111245",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "WANDA",
"last_name": "HAYNES",
"middle_name": "MARIE",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.