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DR. NADIENE ELIZABETH HAYNES MD
NPI 1508874793
Family Medicine in Dover, DE

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
108 OVERLOOK PLACE, DOVER, DE 19901(302) 424-3900(302) 424-4189 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nadiene Elizabeth Haynes Md NPPES

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

DR. NADIENE ELIZABETH HAYNES MD (NPI 1508874793) is an individual family medicine provider in Dover, Delaware, licensed in Delaware (C10009885) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1997).

NPPES Registry Identity

NPI1508874793
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NADIENE ELIZABETH HAYNESCredential: MD
Location Address108 OVERLOOK PLACEDover, DE 19901
Mailing Address108 Overlook PlDover, DE 19901-4302 · (443) 622-8190 · Fax (302) 424-4189
Phone(302) 424-3900
Fax(302) 424-4189
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1997
Enumeration DateAugust 3, 2006
Last NPPES UpdateAugust 14, 2012
✔ NPI 1508874793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in DE · C10009885
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
108 OVERLOOK PLACE, Dover, DE 19901
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Other Identifiers 2

Medicaid1508874793DE
Medicare PIN233838YAEADE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Dr. Nadiene Elizabeth Haynes Md 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 ID5991607319
PECOS Enrollment IDI20120207000293
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 4

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.
412 services170 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.
120 services86 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers30 claims99 services$6.42 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers14 claims14 services$9.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nadiene Haynes's NPI number?

The NPI number for Nadiene Haynes is 1508874793. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Nadiene Haynes located?

Nadiene Haynes practices at 108 Overlook Place, Dover, DE 19901. The listed phone number is (302) 424-3900.

What is Nadiene Haynes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nadiene Haynes enrolled in Medicare?

Yes. Nadiene 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.

What insurance does Nadiene Haynes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Nadiene Haynes 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.

When was this NPI record last updated?

The NPPES record for Nadiene Haynes was last updated on August 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.