Maricruz Haines, APRN
Individual provider Active NPI Nurse Practitioner · Guymon, OK
NPI 1457066458 · NPPES record last updated Apr 1, 2025
Key facts
- NPI
- 1457066458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 221870 (OK)
- Practice address
- 123 Medical Dr
Guymon, OK 73942-3606 - Phone
- (580) 338-3361
- Fax
- (580) 338-1021
- NPI assigned
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Medical Center
Practice addresses (Care Compare)
123 Medical Dr
Guymon, OK 73942-3606
Phone (580) 338-3361
Hospital & facility affiliations
- Southwest Medical Center
- Memorial Hospital of Texas County Authority
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250704000364 | OK | Practitioner - Nurse Practitioner | 0446764203 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Center | Current |
Accepting new patients | |
| Southwest Medical Center | Current |
Accepting new patients | |
| Southwest Medical Center | Past | Accepting new patients |
Locations
421 Medical Dr
Guymon, OK 73942
Phone (580) 338-3135
123 Medical Dr
Guymon, OK 73942
Phone (580) 338-3361
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nurse Practitioner | 363L00000X | 221870 | OK | Yes |
Addresses
Primary practice location
123 Medical Dr
Guymon, OK 73942-3606
Mailing address
1700 SW College Ave
Topeka, KS 66621-0001
Other names
- Maricruz Headrick
Other providers in Guymon, OK
- Guymon Emergency Medicine PLLC
- Guymon Physical Therapy and Wellness PLLC
- Guymon Public Schools
- Guymon Surgical Consultants LLC
- Guymon Vision Clinic
- Kenneth W. Harland
- Lori Ann Harriman
- Shelby Harris
- Julie M Hawks-Baugh
- Caryn Sue Hays
All providers in Guymon, OK · Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.