ANDREA NICOLE HAYNES
NPI 1720585029
Family Medicine in Chicago, IL

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment
5425 W LAKE ST, CHICAGO, IL 60644(773) 378-3347 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2021, Apr 12, 2018 (2 updates tracked since 2018).

About Andrea Nicole Haynes NPPES

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

ANDREA NICOLE HAYNES (NPI 1720585029) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036156114) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720585029
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANDREA NICOLE HAYNES
Location Address5425 W LAKE STChicago, IL 60644-2342
Mailing Address108 S Waller AveChicago, IL 60644 · (601) 405-4674
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 12, 2018
Last NPPES UpdateApril 16, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
NPI 1720585029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036156114
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5425 W LAKE ST, Chicago, IL 60644

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrea Nicole Haynes 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.

PECOS PAC ID8527317593
PECOS Enrollment IDI20210714002364
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 60644 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

Family Medicine
5425 W LAKE ST
CHICAGO, IL 60644
Social Worker (Clinical)
5425 W LAKE ST
CHICAGO, IL 60644
Social Worker (Clinical)
5425 W LAKE ST
CHICAGO, IL 60644
Social Worker (Clinical)
5425 W LAKE ST
CHICAGO, IL 60644
Dentist (General Practice)
5425 W LAKE ST
CHICAGO, IL 60644
Family Medicine
5425 W LAKE ST
CHICAGO, IL 60644
Clinic/Center (Federally Qualified Health Center (FQHC))
5425 W LAKE ST
CHICAGO, IL 60644
Family Medicine
5425 W LAKE ST
CHICAGO, IL 60644

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 Andrea Haynes's NPI number?

The NPI number for Andrea Haynes is 1720585029. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Andrea Haynes located?

Andrea Haynes practices at 5425 W Lake St, Chicago, IL 60644. The listed phone number is (773) 378-3347.

What is Andrea Haynes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrea Haynes enrolled in Medicare?

Yes. Andrea 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.

What insurance does Andrea Haynes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Blue Cross and Blue Shield of Kansas, Inc. list Andrea 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 Andrea Haynes was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.