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DR. LISA HAYNIE CFNP
NPI 1811957905
Nurse Practitioner in Jackson, MS

Active since March 24, 2006PECOS Enrolled
69.83/100
CMS Quality Rating
1339 OAK PARK DR, JACKSON, MS 39213(601) 713-1642(601) 981-6213 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lisa Haynie Cfnp NPPES

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

DR. LISA HAYNIE CFNP (NPI 1811957905) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (R784342) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811957905
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. LISA HAYNIECredential: CFNP
Location Address1339 OAK PARK DRJackson, MS 39213-6804
Mailing Address114 Eastpointe CirMadison, MS 39110-7846 · (601) 856-1975
Phone(601) 713-1642
Fax(601) 981-6213
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateSeptember 4, 2014
✔ NPI 1811957905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · R784342
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1339 OAK PARK DR, Jackson, MS 39213
Open in Google Maps ↗

Other Names 1

Other Name (5)Miss Lisa Arender

Other Identifiers 4

Medicare ID-Type Unspecified500000359MS
Medicaid00119447MS
Medicare PIN358537YJ5DMS
Medicare UPINS57514MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health 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 (PECOS)

Dr. Lisa Haynie Cfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Lisa Haynie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Mississippi - University Of Mississippi Medical Center
1.0 mi
Rehabilitation
350 W WOODROW WILSON AVE STE 600
Jackson, MS 39213
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1619778586 (601) 815-6700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39213 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

69.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.08
Promoting Interoperability83
Improvement Activities40
Cost48.31

Other Providers at the Same Location NPPES 3

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

CENTRAL MS CIVIC IMPROVEMENT ASSOCIATION, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1339 OAK PARK DR
JACKSON, MS 39213
Hinds County (601) 362-5321
MRS. ANNE NORWOOD CFNP
Nurse Practitioner
1339 OAK PARK DR
JACKSON, MS 39213
Hinds County (601) 713-1642
UNIVERSITY NURSING ASSOCIATES, PLLC
Clinic/Center
1339 OAK PARK DR
JACKSON, MS 39213
Hinds County (601) 713-1642

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 Lisa Haynie's NPI number?

The NPI number for Lisa Haynie is 1811957905. It was assigned to this individual provider in the NPPES registry on March 24, 2006. The provider is also known as Miss Lisa Arender.

Where is Lisa Haynie located?

Lisa Haynie practices at 1339 Oak Park Dr, Jackson, MS 39213. The listed phone number is (601) 713-1642.

What is Lisa Haynie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Haynie enrolled in Medicare?

Yes. Lisa Haynie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Haynie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Haynie reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The 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 Lisa Haynie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Haynie accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Lisa Haynie 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 Lisa Haynie was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.