Individual provider Active NPI

Jenifer Lynne Haynes, CRNA

  • Certified Registered Nurse Anesthetist
  • Christiansburg, VA
National Provider Identifier
1518256205
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024171018 Issued in VA
Practice address
2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone
(540) 731-2802
Fax
(540) 731-2230
NPI assigned
Apr 4, 2011
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA163016 ME
Certified Registered Nurse Anesthetist 367500000X 220240 NC
Certified Registered Nurse Anesthetist 367500000X 0024171018 VA Primary
Registered Nurse 163W00000X 220240 NC

Addresses

Primary practice location

2900 Lamb Cir
Christiansburg, VA 24073-6344

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5372

Other practice location 1

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8400

Other practice location 2

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (724) 734-1596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ME, CO, VA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20110824000874 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062682321 Reassigns benefits to 1 organization
I20181016002658 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062682321 Reassigns benefits to 2 organizations
I20220104002784 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062682321
I20240715001857 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062682321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Anesthesiology Associates of Radford IncGroup PAC ID 0941192272, 34 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

2901 Lamb Cir
Christiansburg, VA 24073-6347
Phone (540) 731-1898

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
878NCMDPsychologist
RNA163016MEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarmc Anesthesia Specialist LLC CurrentSince Jun 6, 2023 Accepting new patients
Mainehealth CurrentSince Jun 23, 2025 Accepting new patients
MCV Associated Physicians CurrentSince Jan 2, 2024 Accepting new patients
City of Caribou CurrentSince Jul 1, 2022 Accepting new patients
Mainehealth Current Accepting new patients

Locations

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1518256205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736344",
            "telephone_number": "540-731-2802",
            "fax_number": "540-731-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Glen Cove Dr",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048564272",
            "country_code": "US",
            "telephone_number": "207-921-8400",
            "fax_number": "207-921-5280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "724-734-1596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "JENIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA163016",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "220240",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024171018",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "220240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.