Nicole Lynn Haynes, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP145227 Issued in TX

Practice address

11180 FM 156 Ste 303
Justin, TX 76247-2995

Phone

(940) 648-1700

Fax

(940) 648-1776

NPI assigned

Feb 27, 2020

Last updated

May 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Impact Medical and Chiropractic PLLCGroup PAC ID 4183973076, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Impact Medical and Chiropractic, PLLC

  • Family Medicine Physician
  • Justin, TX
  • NPI 1457839425
  Medicare reassignment Care Compare group NPD
• Justin Family Medical, PA

  • Family Medicine Physician
  • Justin, TX
  • NPI 1841331162
  NPD
• Justin Family Medical

  • Primary Care Clinic/Center
  • Justin, TX
  • NPI 1194175604
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1821622978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 FM 156 STE 303",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762472995",
            "telephone_number": "940-648-1700",
            "fax_number": "940-648-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 FM 156 STE 303",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762472995",
            "telephone_number": "940-648-1700",
            "fax_number": "940-648-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP145227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Lynn Hardy, LPC, LCDC
• Heather Rowley Rd LD LLC (Precision Nutrition)
• Kendra Hockaday, LPC
• Rebecca Holderread, LPTA
• Hope and Theory Counseling, PLLC
• Hui Zhang DDS, PLLC (ForestLeaf Dental of Justin)

• Nurse Practitioner in Justin, TX
• Providers in Justin, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.