Individual provider Active NPI

Alicia Haines

  • Nurse Practitioner
  • Minden, NV
National Provider Identifier
1396471678
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
855609 Issued in NV
Practice address
897 Ironwood Dr Ste 202
Minden, NV 89423-5199
Phone
(775) 364-1411
Fax
(775) 364-1412
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 855609 NV Primary
Nurse Practitioner 363L00000X 95036312 CA

Addresses

Primary practice location

897 Ironwood Dr Ste 202
Minden, NV 89423-5199

Mailing address

2170 South Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 541-3420

Other practice location 1

1139 3rd St
South Lake Tahoe, CA 96150-3465
Phone (530) 543-5711

Other practice location 2

1090 3rd St Ste B
South Lake Tahoe, CA 96150-3485
Phone (530) 543-5711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 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
I20221110000788 NV Practitioner - Nurse Practitioner 5193192722 Reassigns benefits to 1 organization
I20250910002646 CA Practitioner - Nurse Practitioner 5193192722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians

Practice addresses (Care Compare)

1139 3Rd St
South Lake Tahoe, CA 96150-3465
Phone (530) 543-5691

897 Ironwood Dr
Minden, NV 89423-5198
Phone (775) 364-1411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
49.3 of 100Reported as group
Quality
5.44
Promoting interoperability
99
Improvement activities
0
Cost
76.39

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
855609NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barton Medical Foundation CurrentSince Sep 29, 2025 Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients

Locations

1090 3rd St
South Lake Tahoe, CA 96150
Phone (530) 543-5660

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554

1139 3rd St
South Lake Tahoe, CA 96150
Phone (530) 541-3100

897 Ironwood Dr
Ste 202
Minden, NV 89423
Phone (775) 364-1411

897 Ironwood Dr
Fl 2
Minden, NV 89423

897 Ironwood Dr
Minden, NV 89423
Phone (775) 364-1411

Interoperability endpoints

  • Direct secure messaging: ahaines201709@direct.renown.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1396471678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-541-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 IRONWOOD DR STE 202",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894235199",
            "telephone_number": "775-364-1411",
            "fax_number": "775-364-1412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 3rd St",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961503465",
            "country_code": "US",
            "telephone_number": "530-543-5711",
            "fax_number": "530-578-3712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1090 3rd St Ste B",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961503485",
            "country_code": "US",
            "telephone_number": "530-543-5711",
            "fax_number": "530-578-3712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAINES",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "855609",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95036312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

Verify at the official NPI Registry.