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ALTON LUTHER HAYNES III CRNP
NPI 1679424774
Nurse Practitioner - Family in Rockville, MD

Active since February 05, 2026PECOS Enrolled
11119 ROCKVILLE PIKE STE 100, ROCKVILLE, MD 20852(301) 816-9000 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Alton Luther Haynes Iii Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTON LUTHER HAYNES III CRNP (NPI 1679424774) is an individual family provider in Rockville, Maryland, licensed in Maryland (R227388) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679424774
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameALTON LUTHER HAYNES IIICredential: CRNP
Location Address11119 ROCKVILLE PIKE STE 100Rockville, MD 20852-3143
Mailing Address11119 Rockville Pike Ste 100Rockville, MD 20852-3143 · (301) 816-9000
Phone(301) 816-9000
Sole ProprietorNo
Enumeration DateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1679424774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R227388
11119 ROCKVILLE PIKE STE 100, Rockville, MD 20852
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alton Luther Haynes Iii Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Alton Haynes's NPI number?

The NPI number for Alton Haynes is 1679424774. It was assigned to this individual provider in the NPPES registry on February 5, 2026.

Where is Alton Haynes located?

Alton Haynes practices at 11119 Rockville Pike Ste 100, Rockville, MD 20852. The listed phone number is (301) 816-9000.

What is Alton Haynes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alton Haynes enrolled in Medicare?

Yes. Alton Haynes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alton Haynes was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.