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ELSIE HAYNES D.O.
NPI 1538519384
Family Medicine in Pueblo, CO

Active since June 13, 2016PECOS EnrolledAccepts Medicare Assignment
902 LAKEVIEW AVE, PUEBLO, CO 81004(719) 557-5855(719) 557-4780 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elsie Haynes D.o. NPPES

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

ELSIE HAYNES D.O. (NPI 1538519384) is an individual family medicine provider in Pueblo, Colorado, licensed in Colorado (TL.0006257) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Centura St. Catherine-dodge City, and is a graduate of Rocky Vista University College Of Osteopathic Med (2016).

NPPES Registry Identity

NPI1538519384
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELSIE HAYNESCredential: D.O.
Location Address902 LAKEVIEW AVEPueblo, CO 81004-3597
Mailing Address902 Lakeview AvePueblo, CO 81004-3597 · (719) 557-5855 · Fax (719) 557-4780
Phone(719) 557-5855
Fax(719) 557-4780
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2016
Enumeration DateJune 13, 2016
✔ NPI 1538519384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · TL.0006257
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.
902 LAKEVIEW AVE, Pueblo, CO 81004
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Elsie Haynes D.o. 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 ID1759629066
PECOS Enrollment IDI20240713000377
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 Elsie Haynes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trifecta Family Wellness LLC
6.0 mi
Family Medicine
805 EAGLERIDGE BLVD STE 150
Pueblo, CO 81008
  • Reassigned Medicare billing, Colorado enrollment
  • 3 clinicians in this Medicare group
NPI 1215667936 (719) 627-4287
Minneola District Hospital Nbr 2
249 mi
Rural Health
404 MAIN STREET
Fowler, KS 67844
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1013009828 (Kansas)
  • 37 clinicians in this Medicare group
NPI 1700975729 (620) 646-5446
The Clara Barton Hospital Association Inc Hoisington Kansas
315 mi
Rural Health
410 N MAIN ST
Russell, KS 67665
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1265816300 (Kansas)
  • 43 clinicians in this Medicare group
NPI 1366489817 (785) 483-3811

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

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.
77 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Centura St. Catherine-Dodge City

Acute Care Hospitals · Dodge City, KS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number170175
Location3001 Avenue ADodge City, KS 67801 · Ford County
Emergency services Birthing friendly

Clara Barton Hospital

Critical Access Hospitals · Hoisington, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171333
Location250 W 9th StreetHoisington, KS 67544 · Barton County
Emergency services

Greeley County Health Services

Critical Access Hospitals · Tribune, KS
OwnershipGovernment - Local
CMS Certification Number171359
Location506 3rd StreetTribune, KS 67879 · Greeley County
Emergency services

Minneola District Hospital

Critical Access Hospitals · Minneola, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171368
Location212 MainMinneola, KS 67865 · Ford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81004 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers32 claims32 services$84.37 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$33.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CAMILA TERESA ROBLES DO
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
MARK DAVIS PA-C
Physician Assistant
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
MADISON BASSETT
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
REBECKA ANN REATHERFORD AGACNP-BC
Nurse Practitioner (Acute Care)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
LUCINEI GERALDO STADNIK MD
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
DR. LISA HAMILTON MD
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
TIFFANY ANNE GARCIA FNP
Nurse Practitioner (Family)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
DR. KIMBERLEY EVELYN JACKSON D.O.
General Practice
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855

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 Elsie Haynes's NPI number?

The NPI number for Elsie Haynes is 1538519384. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Elsie Haynes located?

Elsie Haynes practices at 902 Lakeview Ave, Pueblo, CO 81004. The listed phone number is (719) 557-5855.

What is Elsie Haynes's specialty?

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

Is Elsie Haynes enrolled in Medicare?

Yes. Elsie 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 Elsie Haynes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elsie Haynes reassigns Medicare benefits to 3 organizations: Trifecta Family Wellness LLC (Pueblo, CO), Minneola District Hospital Nbr 2 (Fowler, KS) and The Clara Barton Hospital Association Inc Hoisington Kansas (Russell, KS). 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 Elsie Haynes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elsie Haynes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Elsie 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.

Is Elsie Haynes affiliated with any hospitals?

According to CMS data, Elsie Haynes is affiliated with Centura St. Catherine-Dodge City, Clara Barton Hospital, Greeley County Health Services and Minneola District Hospital.

When was this NPI record last updated?

The NPPES record for Elsie Haynes was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.