MR. ROY G. HAYNES (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174636989

MR. ROY G. HAYNES (CRNA) is a healthcare provider. based in Valparaiso, Indiana. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 041-217502 (IL). The NPI Number for MR. ROY G. HAYNES (CRNA) is 1174636989

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROY G. HAYNES (CRNA)
NPI
1174636989
Phone
(219) 510-5014
Address
1552 VENETIAN BAY DR
Enumeration Date
16 August 2006
Last Update Date
8 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3094511212
Graduation Year
1995 (31 years ago)
PAC ID
7416847629
Group Practice PAC ID
5991989477
Professional Enrollment ID
I20040319000081
Address ID
IL617615516NO2200XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

Provider Addresses for MR. ROY G. HAYNES (CRNA)

  • 1552 VENETIAN BAY DR

    VALPARAISO, IN 463857072

    Phone: (219) 510-5014

    Type: Mailing

  • 2200 JACOBSSEN DR STE B

    NORMAL, IL 617615516

    Phone: (309) 451-1123

    Fax: (309) 451-1212

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $702.

Total Amount is formed as General ($702) + Research ($0) + Ownership ($0) = $702.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($371).

Total Amount

$702

General + Research + Ownership

Payments

39

Total payment records

General Amount

$702

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040319000081ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20050620001103ICertified Registered Nurse Anesthetist (Crna)INTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope173156$0
00811Anesthesia for other procedure on large bowel using an endoscope7878$0
00813Anesthesia for procedure on small and large bowel using an endoscope4747$0
00142Anesthesia for lens surgery4440$0
00812Anesthesia for exam of colon using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 46385)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991989477View full group profile
NameSpecialtyState
U R O L O G YIL
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)IL
Nurse PractitionerIL
Nurse PractitionerIL
U R O L O G YIL
U R O L O G YCO

Reviews

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Frequently asked questions

Where can patients find MR. ROY G. HAYNES (CRNA)'s NPI?
You can confirm MR. ROY G. HAYNES (CRNA) with NPI 1174636989; it appears in the national provider directory.
Is MR. ROY G. HAYNES (CRNA) currently active in the NPI registry?
CMS-published data lists MR. ROY G. HAYNES (CRNA) as an active registrant.
What field does MR. ROY G. HAYNES (CRNA) work in?
You can think of MR. ROY G. HAYNES (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place MR. ROY G. HAYNES (CRNA)?
The snapshot lists Valparaiso, Indiana for MR. ROY G. HAYNES (CRNA); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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