Erin M Haynes, FPMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Poland, ME
NPI 1275848871 · NPPES record last updated Jun 23, 2022
Key facts
- NPI
- 1275848871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CNP101045 (ME)
- Practice address
- 77 Truman Way
Poland, ME 04274-6153 - Phone
- (207) 400-2674
- NPI assigned
- Aug 9, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101104001215 | ME | Practitioner - Nurse Practitioner | 3971797770 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP101045 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current |
Accepting new patients | |
| Erin Haynes, FPMH-NP, LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Central Maine Medical Center | Current |
Accepting new patients |
Locations
871 Court St
Auburn, ME 04210
Phone (207) 241-0401
14 Maine St
Ste 205
Brunswick, ME 04011
Phone (207) 373-1140
12 High St
Ste 302
Lewiston, ME 04240
Phone (207) 795-5730
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP101045 | ME | Yes |
Addresses
Primary practice location
77 Truman Way
Poland, ME 04274-6153
Mailing address
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950
Other practice location 1
12 High St
Suite 302
Lewiston, ME 04240-7676
Phone (207) 795-5750
Other practice location 2
12 High St
Suite 302
Lewiston, ME 04240-7676
Phone (207) 795-5750
Other practice location 3
93 Campus Ave
Lewiston, ME 04240
Phone (207) 777-8700
Other names
- Erin M Kelley
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehaynes614949@direct-prd.goodhelpconnections.org |
Other providers in Poland, ME
- Rhonda Ronee Edwards
- Basem Mohamed Elbrolosy
- Empathyroots Care Services
- Franca Helena Gagliano McFarland
- Jill Grant
- Deborah Susan Housley
- Inable
- Ashley B Korenkiewicz
- Jessica Langella
- Dana Little
All providers in Poland, ME · Psychiatric/Mental Health Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.