Kelly Aleen Haines, FNP-C
NPI 1538437611ActiveIndividual· Nurse Practitioner, Family· Fort Defiance, AZ
Nurse Practitioner, Family (FNP-C) with The Fort Defiance Indian Hospital Board, Incorporation, practicing in Fort Defiance, Arizona. Their prescriptions cost Medicare Part D more than their services did: $89,178 for 2,299 claims, against $15,775 paid for services in 2024. Lists Fort Defiance Indian Hospital as a hospital affiliation.
Overview
| NPI | 1538437611 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Dec 5, 2011 |
| Last updated in NPPES | Apr 6, 2020 |
| Certified by provider | Apr 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP4272 | AZ |
| Nurse Practitioner, Family | 363LF0000X | AP60438941 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AZ); Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 235 |
|---|---|
| Services billed | 338 across 9 procedure codes |
| Paid by Medicare | $15,775 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,299 · 2,351 30-day fills |
|---|---|
| Patients | 212 |
| Total drug cost | $89,178 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- The Fort Defiance Indian Hospital Board, IncorporationFort Defiance, AZ · 151 clinicians
Hospital affiliation
- Fort Defiance Indian HospitalFt. Defiance, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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