Mrs Renee Childress Haynes, FNP-C - Medicare Nurse Practitioner in King, NC

Mrs Renee Childress Haynes, FNP-C is a medicare enrolled "Nurse Practitioner" in King, North Carolina. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Novant Medical Group Inc and her current practice location is 167 Moore Rd Ste 206, King, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 673-6450.

Mrs Renee Childress Haynes is licensed to practice in North Carolina (license number 5006370) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477994507.

Contact Information

Mrs Renee Childress Haynes, FNP-C
167 Moore Rd Ste 206,
King, NC 27021-8770
(336) 673-6450
(336) 673-6449

Map and Direction




Provider's Profile

Full NameMrs Renee Childress Haynes
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location167 Moore Rd Ste 206, King, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Renee Childress Haynes graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1477994507
  • Provider Enumeration Date: 07/17/2013
  • Last Update Date: 08/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991934929
  • Enrollment ID: I20140214000680

Medical Identifiers

Medical identifiers for Mrs Renee Childress Haynes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477994507NPI-NPPES
F06131209OtherNCAANP CERTIFICATION NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5006370 (North Carolina)Primary
363LF0000XNurse Practitioner - Family 207Q00000X (North Carolina)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348932023

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Renee Childress Haynes allows following entities to bill medicare on her behalf.
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameCarolina Medicorp Enterprises Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760950646
PECOS PAC ID: 0648174904
Enrollment ID: O20040110000190
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Renee Childress Haynes is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Renee Childress Haynes, FNP-C
Po Box 60447,
Charlotte, NC 28260-0447

Ph: () -
Mrs Renee Childress Haynes, FNP-C
167 Moore Rd Ste 206,
King, NC 27021-8770

Ph: (336) 673-6450

Reviews and Comments


Nurse Practitioner Nurses in King, NC

Mrs. Tiffany Shante Gibson, APRN,BC, MN, RNC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 216 Moore Rd, King, NC 27021
Phone: 336-983-4346    
Mrs. Michele Mariano Lizano, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 167 Moore Rd Ste 206, King, NC 27021
Phone: 336-673-6450    Fax: 336-673-6449
Stephanie Amber Freeman, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 202 Scenic Dr, King, NC 27021
Phone: 336-985-0625    
Emily Marion Fischer, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 216 Moore Rd, King, NC 27021
Phone: 336-983-4346    
Jaden Moore Miethe, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 167 Moore Rd Ste 201, King, NC 27021
Phone: 336-673-6470    Fax: 336-673-6489
Brittney Thompson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 216 Moore Rd, King, NC 27021
Phone: 336-983-4346    Fax: 336-985-5101
Candice Puckett Key, FNPC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Newsome Family Practice, 304 Mountainview Road, King, NC 27021
Phone: 336-716-2255    Fax: 336-983-3016

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.