MRS. KELSEY MICHELLE HAYNES
NPI 1619631801
Physician Assistant in Owasso, OK
About Mrs. Kelsey Michelle Haynes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELSEY MICHELLE HAYNES (NPI 1619631801) is an individual physician assistant in Owasso, Oklahoma, licensed in Oklahoma (4634) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Council Oak Comprehensive Healthcare, and maintains a secondary practice location in Sapulpa.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mrs. Kelsey Michelle 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Council Oak Comprehensive Healthcare
Acute Care Hospitals · Tulsa, OKCreek Nation Community Hospital
Critical Access Hospitals · Okemah, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OWASSO, OK 74055
OWASSO, OK 74055
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 Kelsey Haynes's NPI number?
The NPI number for Kelsey Haynes is 1619631801. It was assigned to this individual provider in the NPPES registry on October 25, 2021.
Where is Kelsey Haynes located?
Kelsey Haynes practices at 8418 N 123rd East Ave, Owasso, OK 74055. The listed phone number is (918) 858-4353.
What is Kelsey Haynes's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kelsey Haynes enrolled in Medicare?
Yes. Kelsey 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 Kelsey Haynes accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Kelsey 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 Kelsey Haynes affiliated with any hospitals?
According to CMS data, Kelsey Haynes is affiliated with Council Oak Comprehensive Healthcare and Creek Nation Community Hospital.
When was this NPI record last updated?
The NPPES record for Kelsey Haynes was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Mrs. Kelsey Michelle Haynes · NPI 1619631801
Physician Assistant physician in Owasso, Oklahoma. Individual provider, active in the CMS NPPES registry since October 25, 2021.
## Identity
- **NPI:** 1619631801 (Entity type: Individual)
- **Enumerated:** October 25, 2021
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 4634 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 8418 N 123RD EAST AVE, Owasso, OK 74055-2139
- **Phone:** (918) 858-4353 · **Fax:** (866) 246-2942
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619631801) · Data from the CMS NPPES public registry.