MISS JENIFER LYNNE HAYNES (CRNA) – Certified Registered Nurse Anesthetist, NPI 1518256205
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
533 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ME
Provider Addresses for MISS JENIFER LYNNE HAYNES (CRNA)
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT
PO BOX 7291
LEWISTON, ME 042437291
Phone: (207) 777-8560
Fax: (207) 777-8800
Type: Mailing
360 BROADWAY
BANGOR, ME 044013979
Phone: (207) 907-1430
Fax: (207) 907-3508
Type: Location
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone: (540) 224-5372
Type: Mailing
2900 LAMB CIR
CHRISTIANSBURG, VA 240736344
Phone: (540) 731-2802
Fax: (540) 731-2230
Type: Location
4420 Lake Boone Trl
Raleigh, NC 276077505
Phone: (724) 734-1596
Type: Location
6 Glen Cove Dr
Rockport, ME 048564272
Phone: (207) 921-8400
Fax: (207) 921-5280
Type: Location
1614 RIVER RD
CALAIS, ME 046194220
Phone: (207) 214-4040
Type: Mailing
4420 LAKE BOONE TRL
RALEIGH, NC 276077505
Phone: (724) 734-1596
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: 2024-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20110824000874 | I | Certified Registered Nurse Anesthetist (Crna) | NC | TBD |
| I20181016002658 | I | Certified Registered Nurse Anesthetist (Crna) | ME | TBD |
| I20220104002784 | I | Certified Registered Nurse Anesthetist (Crna) | CO | TBD |
| I20240715001857 | I | Certified Registered Nurse Anesthetist (Crna) | VA | 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 04243)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Family Practice, Hospice/Palliative Care | ME | |
| Pediatric Medicine, Endocrinology | MA | |
| - | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME |
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