TERRI L. HAYNES
NPI 1164800280
Nurse Practitioner - Family in Louisville, KY

Active since May 08, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
231 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 629-6000(502) 629-5991 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2021, May 28, 2020, Apr 8, 2020 and 1 more (4 updates tracked since 2015).

About Terri L. Haynes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRI L. HAYNES (NPI 1164800280) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3009373) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164800280
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERRI L. HAYNES
Location Address231 E CHESTNUT STLouisville, KY 40202-1821
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116
Fax(502) 629-5991
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 8, 2015
Last NPPES UpdateJanuary 26, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
✔ NPI 1164800280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3009373
231 E CHESTNUT ST, Louisville, KY 40202

Other Identifiers 2

Medicaid7100354730KY
Medicaid201315380IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Terri L. Haynes is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305152372
PECOS Enrollment IDI20150904002466
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Terri Haynes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
231 E CHESTNUT ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services25 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Pathology (Anatomic Pathology & Clinical Pathology)
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Pediatrics (Pediatric Emergency Medicine)
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terri Haynes's NPI number?

The NPI number for Terri Haynes is 1164800280. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Where is Terri Haynes located?

Terri Haynes practices at 231 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 629-6000.

What is Terri Haynes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Terri Haynes enrolled in Medicare?

Yes. Terri Haynes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Terri Haynes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terri Haynes reassigns Medicare benefits to 3 organizations: University Of Louisville Physicians (Louisville, KY), Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Terri Haynes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Terri Haynes affiliated with any hospitals?

According to CMS data, Terri Haynes is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Terri Haynes was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.