ANN M. HAYNES APRN
NPI 1477763019
Nurse Practitioner in Salt Lake City, UT
About Ann M. Haynes Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANN M. HAYNES APRN (NPI 1477763019) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (327015-4405) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ann M. Haynes Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Ann Haynes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tigard, OR 97223
- Reassigned Medicare billing, Oregon enrollment
- 87 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84132
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ann Haynes's NPI number?
The NPI number for Ann Haynes is 1477763019. It was assigned to this individual provider in the NPPES registry on May 23, 2007.
Where is Ann Haynes located?
Ann Haynes practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 587-7763.
What is Ann Haynes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Ann Haynes enrolled in Medicare?
Yes. Ann Haynes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ann Haynes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ann Haynes reassigns Medicare benefits to Peacehealth Networks On Demand, LLC (Tigard, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ann Haynes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ann Haynes accept?
Health plans from Ambetter Health, BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare and PacificSource Health Plans and 1 other insurer list Ann Haynes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ann Haynes was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ann M. Haynes, APRN · NPI 1477763019
Nurse Practitioner physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since May 23, 2007.
## Identity
- **NPI:** 1477763019 (Entity type: Individual)
- **Enumerated:** May 23, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 327015-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 N MEDICAL DR, Salt Lake City, UT 84132-0100
- **Phone:** (801) 587-7763
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Peacehealth Networks On Demand, LLC (NPI 1023582178, Tigard, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** November 25, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1477763019) · Data from the CMS NPPES public registry.