HAYNES FAMILY CHIROPRACTIC, INC.
NPI 1619390564
Chiropractor in Peoria, IL
About Haynes Family Chiropractic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAYNES FAMILY CHIROPRACTIC, INC. (NPI 1619390564) is a healthcare organization registered as a chiropractor in Peoria, Illinois and active in the NPI registry since January 2014. The organization lists Kyle Joseph Haynes, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Haynes Family Chiropractic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Haynes Family Chiropractic, Inc., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Haynes Family Chiropractic, Inc.'s NPI number?
The NPI number for Haynes Family Chiropractic, Inc. is 1619390564. It was assigned to this organization in the NPPES registry on January 29, 2014.
Where is Haynes Family Chiropractic, Inc. located?
Haynes Family Chiropractic, Inc. is located at 2886 W Willow Knolls Dr, Peoria, IL 61614. The listed phone number is (309) 839-8238.
What is Haynes Family Chiropractic, Inc.'s specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Haynes Family Chiropractic, Inc. enrolled in Medicare?
Yes. Haynes Family Chiropractic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Haynes Family Chiropractic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Haynes Family Chiropractic, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Haynes Family Chiropractic, Inc. was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Haynes Family Chiropractic, Inc. · NPI 1619390564
Chiropractor organization in Peoria, Illinois. Organization record, active in the CMS NPPES registry since January 29, 2014.
## Identity
- **NPI:** 1619390564 (Entity type: Organization)
- **Enumerated:** January 29, 2014
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Kyle Haynes, SECRETARY
## Practice location
- **Address:** 2886 W WILLOW KNOLLS DR, Peoria, IL 61614-1102
- **Phone:** (309) 839-8238
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619390564) · Data from the CMS NPPES public registry.