CARISSA HAINES
NPI 1346591815
Nurse Practitioner - Family in Dayton, OH

Active since September 25, 2012PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
122 WYOMING ST, DAYTON, OH 45409(937) 223-4461(937) 449-7603 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carissa Haines NPPES

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

CARISSA HAINES (NPI 1346591815) is an individual family provider in Dayton, Ohio, licensed in Ohio (APRN.CNP13356) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2012).

NPPES Registry Identity

NPI1346591815
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARISSA HAINES
Location Address122 WYOMING STDayton, OH 45409-2731
Mailing Address3170 Kettering Blvd Bldg BMoraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811
Fax(937) 449-7603
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2012
Enumeration DateSeptember 25, 2012
Last NPPES UpdateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
NPI 1346591815 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
Licenses Licensed in OH · APRN.CNP13356 Licensed in OH · COA.13356-NP
122 WYOMING ST, Dayton, OH 45409

Other Identifiers 1

Medicaid0294150OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carissa Haines 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 ID1557645355
PECOS Enrollment IDI20170608001101
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.

Areas of Expertise CMS Part B claims 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
430 services369 patients
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.
170 services165 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

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.

Nurse Practitioner (Adult Health)
122 WYOMING ST
DAYTON, OH 45409
Nurse Practitioner (Acute Care)
122 WYOMING ST
DAYTON, OH 45409
Internal Medicine (Cardiovascular Disease)
122 WYOMING ST
DAYTON, OH 45409
Internal Medicine (Cardiovascular Disease)
122 WYOMING ST
DAYTON, OH 45409
Registered Nurse
122 WYOMING ST
DAYTON, OH 45409
Internal Medicine (Cardiovascular Disease)
122 WYOMING ST
DAYTON, OH 45409
Physician Assistant
122 WYOMING ST
DAYTON, OH 45409
Internal Medicine (Cardiovascular Disease)
122 WYOMING ST
DAYTON, OH 45409

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 Carissa Haines's NPI number?

The NPI number for Carissa Haines is 1346591815. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Where is Carissa Haines located?

Carissa Haines practices at 122 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 223-4461.

What is Carissa Haines's specialty?

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

Is Carissa Haines enrolled in Medicare?

Yes. Carissa Haines 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.

What insurance does Carissa Haines accept?

Health plans from CareSource and MedMutual list Carissa Haines as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carissa Haines affiliated with any hospitals?

According to CMS data, Carissa Haines is affiliated with Miami Valley Hospital and Atrium Medical Center.

When was this NPI record last updated?

The NPPES record for Carissa Haines was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.