Individual provider Active NPI

Angela D Haynes, FNP-C

  • Family Nurse Practitioner
  • Magnolia, AR
National Provider Identifier
1376996710
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
228116 Issued in AR
Practice address
1617 N Washington
Magnolia, AR 71753-2046
Phone
(870) 234-7676
Fax
(570) 562-2559
NPI assigned
Jul 21, 2016
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08913 LA
Family Nurse Practitioner 363LF0000X 228116 AR Primary

Addresses

Primary practice location

1617 N Washington
Magnolia, AR 71753-2046

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

926 Frances Dr
Haynesville, LA 71038-6100
Phone (318) 624-0554

Other practice location 2

1012 E Church St Ste B
Warren, AR 71671-3530
Phone (870) 226-6786

Other practice location 3

401 11th St NE
Springhill, LA 71075-4503
Phone (318) 539-1701

Other identifiers 1

IdentifierTypeStateIssuer
2428551MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angela.haynes@smcdc.eclinicdirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160819000748 LA Practitioner - Nurse Practitioner 9436444130 Reassigns benefits to 1 organization
I20240426002009 AR Practitioner - Nurse Practitioner 9436444130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainline Health Systems IncGroup PAC ID 5193785590, 55 clinicians
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians

Practice addresses (Care Compare)

1012 E Church St
Suite B
Warren, AR 71671-3530
Phone (870) 226-6754

1617 N Washington
Magnolia, AR 71753-2046

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228116ARMDFamily Nurse Practitioner
AP08913LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springhill Medical Services, Inc. CurrentSince Sep 11, 2018 Accepting new patients
Mainline Health Systems, Inc Current Accepting new patients
Springhill Medical Services, Inc. CurrentSince Sep 11, 2018 Accepting new patients
Mainline Health Systems, Inc CurrentSince Oct 20, 2025 Accepting new patients
Mainline Health Systems, Inc CurrentSince Oct 20, 2025 Accepting new patients
Mainline Health Systems Inc Past Accepting new patients

Locations

300 S School St
Dermott, AR 71638
Phone (870) 538-3355

525 E Speedway St
Dermott, AR 71638
Phone (870) 277-2658

566 S Mabry St
Eudora, AR 71640
Phone (870) 201-2127

579 E Beouff St
Eudora, AR 71640
Phone (870) 355-2512

1109 Cub Dr
Hamburg, AR 71646
Phone (870) 224-0116

1119 S Main St
Hamburg, AR 71646
Phone (870) 229-0798

1205 E Dixon Rd
Little Rock, AR 72206
Phone (501) 234-2020

5205 W Sawmill Rd
Little Rock, AR 72206
Phone (501) 650-2396

250 University Dr
Monticello, AR 71655
Phone (479) 957-9685

535 Jordan Dr
Monticello, AR 71655
Phone (870) 367-6246

700 Main St
Rison, AR 71665
Phone (870) 310-8594

506 Little Creek Cut Off Rd
Sheridan, AR 72150
Phone (800) 204-1227

512 W Church St
#A
Sheridan, AR 72150
Phone (870) 484-4411

110 N Drew St
Star City, AR 71667
Phone (870) 628-5110

400 E Arkansas St
Rm E3
Star City, AR 71667
Phone (650) 419-2810

1012 E Church St
Ste B
Warren, AR 71671
Phone (870) 226-6786

210 Scoby Dr
Warren, AR 71671

212 Scoby Dr
Warren, AR 71671
Phone (870) 226-6786

931 N Myrtle St
Bldg D
Warren, AR 71671
Phone (870) 355-2512

203 McCombs St
Wilmot, AR 71676
Phone (870) 473-2274

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

401 11th St NE
Springhill, LA 71075
Phone (318) 539-1700

Interoperability endpoints

  • Direct secure messaging: angela.haynes@smcdc.eclinicdirectplus.com

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.

Hospital & facility affiliations 5

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1376996710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N WASHINGTON",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532046",
            "telephone_number": "870-234-7676",
            "fax_number": "570-562-2559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 Frances Dr",
            "address_purpose": "LOCATION",
            "city": "Haynesville",
            "state": "LA",
            "postal_code": "710386100",
            "country_code": "US",
            "telephone_number": "318-624-0554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1012 E CHURCH ST STE B",
            "address_purpose": "LOCATION",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713530",
            "country_code": "US",
            "telephone_number": "870-226-6786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 11th St NE",
            "address_purpose": "LOCATION",
            "city": "Springhill",
            "state": "LA",
            "postal_code": "710754503",
            "country_code": "US",
            "telephone_number": "318-539-1701",
            "fax_number": "318-539-5688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "ANGELA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08913",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "228116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2428551",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.haynes@smcdc.eclinicdirectplus.com",
            "affiliation": "N",
            "endpointDescription": "one direct address for all providers goes to facility",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "401 11th St NE",
            "city": "Springhill",
            "state": "LA",
            "country_code": "US",
            "postal_code": "710754503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

Verify at the official NPI Registry.