Individual provider Active NPI

Nadiene Elizabeth Haynes, MD

  • Family Medicine Physician
  • Dover, DE
National Provider Identifier
1508874793
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10009885 Issued in DE
Practice address
108 Overlook Place
Dover, DE 19901
Phone
(302) 424-3900
Fax
(302) 424-4189
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C10009885 DE Primary

Addresses

Primary practice location

108 Overlook Place
Dover, DE 19901

Mailing address

108 Overlook PL
Dover, DE 19901-4302
Phone (443) 622-8190

Other identifiers 1

IdentifierTypeStateIssuer
1508874793MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000293 DE Practitioner - Family Practice 5991607319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware Medical Care PAGroup PAC ID 0749240109, 3 clinicians

Practice addresses (Care Compare)

51 Deak Dr
Smyrna, DE 19977-1268
Phone (302) 653-1281

Hospital & facility affiliations

  • Bayada Home Health Care at Bayhealth Home health agency, Dover, DE, CCN 087024
  • Christianacare Homehealth Home health agency, Camden, DE, CCN 087301
  • Amedisys Delaware, LLC Home health agency, Dover, DE, CCN 087007
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10009885DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Medical Group Current Accepting new patients
Delaware Medical Care PA CurrentSince Dec 1, 2018 Accepting new patients
Barnes Family Practice Family Medicine Past Accepting new patients
Madison Medical P.C Past Accepting new patients
Oak Neurovascular P.C. Past Accepting new patients
Genesys Integrated Group Practice PC Past Accepting new patients

Locations

51 Deak Dr
Smyrna, DE 19977
Phone (302) 653-1281

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1508874793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 OVERLOOK PL",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014302",
            "telephone_number": "443-622-8190",
            "fax_number": "302-424-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OVERLOOK PLACE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "302-424-3900",
            "fax_number": "302-424-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "NADIENE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10009885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508874793",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.