WADIYA HAYNES (MSN, FNP-BC, CNRN) – Family Nurse Practitioner, NPI 1184125684
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
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Provider Addresses for WADIYA HAYNES (MSN, FNP-BC, CNRN)
Walnut Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104-2989, United States
PHILADELPHIA, PA 191075211
Phone: (215) 955-7000
Fax: (215) 503-7007
Type: Location
74 E Glenwood Ave Unit 5705
Smyrna, DE 199771002
Phone: (215) 828-1980
Fax: (302) 360-1892
Type: Location
106 N Bayberry Pkwy
Middletown, DE 197099859
Phone: (302) 383-0659
Fax: (302) 360-1892
Type: Location
6329, Dicks Avenue, Elmwood Park, Philadelphia, Philadelphia County, Pennsylvania, 19142, United States
PHILADELPHIA, PA 191423008
Phone:
Type: Mailing
PO BOX 67537
NEWARK, NJ 071018009
Phone: (302) 400-9999
Fax: (302) 487-1167
Type: Mailing
310 MULLET RUN
MILFORD, DE 199635371
Phone: (302) 400-9999
Fax: (302) 487-1518
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180802003470 | I | Nurse Practitioner | PA | TBD |
| I20250505001747 | I | Nurse Practitioner | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| Nurse Practitioner | DE | |
| Nurse Practitioner | DE | |
| Nurse Practitioner | DE | |
| Nurse Practitioner | DE | |
| Nurse Practitioner | DE | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | DE | |
| Nurse Practitioner | DE | |
| Internal Medicine | DE |
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