Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carissa Haines

Individual provider Family Nurse Practitioner · NPI 1346591815

Carissa Haines is a Nurse Practitioner in Dayton, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2012, 14 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
14
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

122 Wyoming St
Dayton, OH 45409-2731
Phone: (937) 223-4461
Fax: (937) 449-7603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP13356 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence COA.13356-NP (OH)

Record details

NPI number1346591815
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2012
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address3170 Kettering Blvd Bldg B, Moraine, OH 45439-1924

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Premier Health Specialists Inc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Dayton