Individual provider Active NPI

Amy J Haynie, APRN

  • Pediatric Nurse Practitioner
  • Madisonville, KY
National Provider Identifier
1285764829
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3005162 Issued in KY
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

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100278310MedicaidKY

Electronic endpoints 3

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117002371 KY Practitioner - Nurse Practitioner 9133359086 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5162PKYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Feb 27, 2023 Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince Feb 27, 2023 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.

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

Verify at the official NPI Registry.