Active NPI
Andrew Haynes, CRNP
- Critical Care Medicine Nurse Practitioner
- Anniston, AL
National Provider Identifier
1508321191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Nurse Practitioner
- License
- 1-149853
- Practice address
- 400 E 10TH St
Anniston, AL 36207-4716 - Phone
- (256) 235-5896
- NPI assigned
- Feb 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 1-149853 | AL | Primary |
Addresses
Primary practice location
400 E 10TH St
Anniston, AL 36207-4716
Mailing address
589 Bobwhite Dr
Oxford, AL 36203-9251
Phone (256) 473-7269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190724002227 | AL | Practitioner - Nurse Practitioner | 2860728151 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Health Care Authority of the City of Anniston
Practice addresses (Care Compare)
400 E 10TH St
Anniston, AL 36202-4716
Phone (256) 235-5860
Hospital & facility affiliations
- Northeast Alabama Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health Care Authority of the City of Anniston | Current | Accepting new patients | |
| Anniston Pathology | Current | Accepting new patients | |
| The Health Care Authority of the City of Anniston | Current | Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
Interoperability endpoints
- https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Anniston, AL
- NPI 1003996000
AL
-
- Psychiatric Hospital Unit
- Anniston, AL
- NPI 1558608166
-
- Anatomic Pathology & Clinical Pathology Physician
- Anniston, AL
- NPI 1053387654
-
- General Acute Care Hospital
- Anniston, AL
- NPI 1215976675
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anniston, AL
- NPI 1003996000
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1508321191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "589 BOBWHITE DR",
"city": "OXFORD",
"state": "AL",
"postal_code": "362039251",
"telephone_number": "256-473-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 10TH ST",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362074716",
"telephone_number": "256-235-5896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "ANDREW",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-07",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "AL",
"license": "1-149853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.