Active NPI
Angela D Haynes, FNP-C
- Family Nurse Practitioner
- Magnolia, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 228116
- 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, 2026
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2428551 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | angela.haynes@smcdc.eclinicdirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
- University of Arkansas for Medical Sciences
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
| License | State | Type | Specialty |
|---|---|---|---|
| 228116 | AR | MD | Family Nurse Practitioner |
| AP08913 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springhill Medical Services, Inc. | Current | Accepting new patients | |
| Mainline Health Systems, Inc | Current | Accepting new patients | |
| Springhill Medical Services, Inc. | Current | Accepting new patients | |
| Mainline Health Systems, Inc | Current | Accepting new patients | |
| Mainline Health Systems, Inc | Current | 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
- 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.
-
dba Mills Middle School
- Federally Qualified Health Center (FQHC)
- Little Rock, AR
- NPI 1164264834
-
dba Springhill Medical Center Hospital Based Physicians
- Family Medicine Physician
- Springhill, LA
- NPI 1124092481
-
- Federally Qualified Health Center (FQHC)
- Monticello, AR
- NPI 1669401501
-
dba Mainline Health Magnolia Clinic
- Federally Qualified Health Center (FQHC)
- Magnolia, AR
- NPI 1972464337
-
dba Bradley Medical Clinic
- Rural Health Clinic/Center
- Bradley, AR
- NPI 1407960271
-
dba Portland Health Care
- Federally Qualified Health Center (FQHC)
- Portland, AR
- NPI 1316106388
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Jefferson Regional Medical Center
- General Acute Care Hospital
- Pine Bluff, AR
- NPI 1710931985
-
dba Magnolia Regional Medical Center
- Critical Access Hospital
- Magnolia, AR
- NPI 1700407541
-
dba The University Hospital of Arkansas
- General Acute Care Hospital
- Little Rock, AR
- NPI 1477549756
-
dba Springhill Medical Center
- General Acute Care Hospital
- Springhill, LA
- NPI 1275506115
-
dba Muddy Bottoms Clinic
- Primary Care Clinic/Center
- Sarepta, LA
- NPI 1699191999
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.
- 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.