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

Mary M Haynes, APRN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1528450293

Mary M Haynes, APRN, FNP-C is a Nurse Practitioner in Dayton, Ohio. Qualified in 2014, 12 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2015
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

405 W Grand Ave
Dayton, OH 45405-7538
Phone: (937) 723-3276
Fax: (937) 723-3277
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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 RN.284269 (OH)

Record details

NPI number1528450293
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-C
Sole proprietorNo
NPI enumeratedMarch 4, 2015
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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