Patrick Joseph Haynes II, C-NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0029789 Issued in OH

Practice address

415 Byers Rd Ste 300
Miamisburg, OH 45342-3684

Phone

(937) 866-2494

Fax

(937) 866-8494

NPI assigned

Sep 24, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

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 and National Provider Directory roles.

• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  Medicare reassignment NPD
• The Little Clinic of Ohio LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1982761896
  Medicare reassignment NPD
• Absolutecare of Ohio, LLC

  • Multi-Specialty Clinic/Center
  • Brooklyn, OH
  • NPI 1619605672
  NPD (past)

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1982375432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1310",
            "fax_number": "937-522-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BYERS RD STE 300",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423684",
            "telephone_number": "937-866-2494",
            "fax_number": "937-866-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2921 W Alex Bell Rd",
            "address_purpose": "LOCATION",
            "city": "Moraine",
            "state": "OH",
            "postal_code": "454591127",
            "country_code": "US",
            "telephone_number": "937-991-3601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_suffix": "II",
        "credential": "C-NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-24",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.395989",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "415 Byers Rd Ste 300",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phaynesii478020@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "415 Byers Rd Ste 300",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlin K Harris, DO
• Dale Harris, RBT
• Kristin Lynn Hauser
• Robert Allen Hawkins, MD
• Erika Hayes
• Healing Journey Transportation LLC
• Health Springs RX LLC
• Heartland of Miamisburg Oh LLC
• Heartland of Miamisburg Oh, LLC
• Patrick Stanley Hein, M.D.

• Family Nurse Practitioner in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.