HALEY CARLOCK DNP, PMHNP-BC
NPI 1013364199
Nurse Practitioner - Psychiatric/Mental Health in St Louis Park, MN

Active since May 19, 2016PECOS EnrolledAccepts Medicare Assignment
1155 FORD RD, SUITE B, ST LOUIS PARK, MN 55426(952) 378-1800(952) 378-1714 Get Directions Write a Review

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 26, 2017, May 19, 2016 (2 updates tracked since 2016).

About Haley Carlock Dnp, Pmhnp-bc NPPES

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

HALEY CARLOCK DNP, PMHNP-BC (NPI 1013364199) is an individual psychiatric/mental health provider in St Louis Park, Minnesota, licensed in Minnesota (CNP 4630) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1013364199
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHALEY CARLOCKCredential: DNP, PMHNP-BC
Location Address1155 FORD RD, SUITE BSt Louis Park, MN 55426-1099
Mailing Address3100 W Lake St, Suite 210Minneapolis, MN 55416-4527 · (612) 925-6033 · Fax (612) 925-8496
Fax(952) 378-1714
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 19, 2016
Last NPPES UpdateApril 26, 20172 updates tracked since enumeration
NPI 1013364199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MN · CNP 4630
Also ListedNurse PractitionerTaxonomy 363L00000X · License R 197063-4 (MN)
1155 FORD RD, St Louis Park, MN 55426

Other Identifiers 1

Medicare PINH400360502MN

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

Haley Carlock Dnp, Pmhnp-bc 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 ID5991093635
PECOS Enrollment IDI20161012000310
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
70 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1155 FORD RD
ST LOUIS PARK, MN 55426
Nurse Practitioner (Psychiatric/Mental Health)
1155 FORD RD, SUITE B
ST LOUIS PARK, MN 55426
Pharmacist
1155 FORD RD
ST LOUIS PARK, MN 55426
Student in an Organized Health Care Education/Training Program
1155 FORD RD
ST LOUIS PARK, MN 55426

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 Haley Carlock's NPI number?

The NPI number for Haley Carlock is 1013364199. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Haley Carlock located?

Haley Carlock practices at 1155 Ford Rd Suite B, St Louis Park, MN 55426. The listed phone number is (952) 378-1800.

What is Haley Carlock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Haley Carlock enrolled in Medicare?

Yes. Haley Carlock 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 Haley Carlock accept?

Health plans from HealthPartners list Haley Carlock 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 Haley Carlock was last updated on April 26, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.