Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Roy G. Haynes, CRNA

Individual provider Registered Nurse · NPI 1174636989

Mr. Roy G. Haynes, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Normal, Illinois. Qualified in 1995, 31 years ago. Practices with Anesthesia Pain Services LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
31
Licensed in
IL, IN
In the registry since
2006
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2200 Jacobssen Dr Ste B
Normal, IL 61761-5516
Phone: (309) 451-1123
Fax: (309) 451-1212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209-001422 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041-217502 (IL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 28163503A (IN)

Record details

NPI number1174636989
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Anesthesia Pain Services Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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