Active NPI
Amy J Haynie, APRN
- Pediatric Nurse Practitioner
- Madisonville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 3005162
- Practice address
- 1913 S Main St
Madisonville, KY 42431-3353 - Phone
- (270) 297-4488
- NPI assigned
- Mar 6, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 3005162 | KY | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 5162P | KY |
Addresses
Primary practice location
1913 S Main St
Madisonville, KY 42431-3353
Mailing address
1035 Bell Dr
Madisonville, KY 42431-2333
Other practice location 1
510 Ruby Dr
Madisonville, KY 42431-2168
Phone (270) 399-7900
Other practice location 2
2025 W Everly Brothers Blvd Ste 1A
Powderly, KY 42367-5401
Phone (270) 377-2600
Other practice location 3
1000 Breckenridge St Ste 300
Owensboro, KY 42303-0877
Phone (270) 688-4480
Other practice location 4
15 N Harrig St
Madisonville, KY 42431-2123
Phone (270) 245-2351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100278310 | Medicaid | KY |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahaynie47084@direct.owensborohealth.org | ||
| Direct Messaging Address | ahaynie47084@direct.owensborohealth.org | ||
| Direct Messaging Address | ahaynie47084@direct.owensborohealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5162P | KY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Commonwealth Biomedical Research, LLC | Past | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Past | Accepting new patients | |
| Madisonville Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
510 Ruby Dr
Madisonville, KY 42431
Phone (270) 399-7757
1000 Breckenridge St
Ste 300
Owensboro, KY 42303
Phone (270) 688-4480
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
2025 W Everly Brothers Blvd
Ste 1A
Powderly, KY 42367
Phone (270) 377-2600
Organizations & group practices 6
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 Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Foot & Ankle Surgery Podiatrist
- Madisonville, KY
- NPI 1750800256
-
- Family Medicine Physician
- Crofton, KY
- NPI 1790920825
-
dba Owensboro Health Medical Group - EKG Professional Services
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1285764829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 BELL DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424312333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 S MAIN ST",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424313353",
"telephone_number": "270-297-4488"
}
],
"practiceLocations": [
{
"address_1": "510 Ruby Dr",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "KY",
"postal_code": "424312168",
"country_code": "US",
"telephone_number": "270-399-7900",
"fax_number": "270-399-7910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2025 W Everly Brothers Blvd Ste 1A",
"address_purpose": "LOCATION",
"city": "Powderly",
"state": "KY",
"postal_code": "423675401",
"country_code": "US",
"telephone_number": "270-377-2600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Breckenridge St Ste 300",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423030877",
"country_code": "US",
"telephone_number": "270-688-4480",
"fax_number": "270-688-4489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 N Harrig St",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "KY",
"postal_code": "424312123",
"country_code": "US",
"telephone_number": "270-245-2351",
"fax_number": "270-245-2352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYNIE",
"first_name": "AMY",
"middle_name": "J",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KY",
"license": "3005162",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KY",
"license": "5162P",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100278310",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahaynie47084@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "510 Ruby Dr",
"city": "Madisonville",
"state": "KY",
"country_code": "US",
"postal_code": "424312168",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahaynie47084@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "1000 Breckenridge St Ste 300",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423030877",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahaynie47084@direct.owensborohealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2025 W Everly Brothers Blvd Ste 1A",
"city": "Powderly",
"state": "KY",
"country_code": "US",
"postal_code": "423675401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.