HALEY CARLOCK DNP, PMHNP-BC
NPI 1013364199
Nurse Practitioner - Psychiatric/Mental Health in St Louis Park, MN
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
Specialties & Licenses 2
Other Identifiers 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Haley Carlock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minnetonka, MN 55343
- Reassigned Medicare billing, Minnesota enrollment
- 37 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.
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.
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.
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.
ST LOUIS PARK, MN 55426
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.
Which organization bills Medicare for Haley Carlock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haley Carlock reassigns Medicare benefits to Sonder Behavioral Health & Wellness, Inc. (Minnetonka, MN). 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 Haley Carlock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Haley Carlock accept?
Health plans from Sanford Health Plan 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Haley Carlock, DNP, PMHNP-BC · NPI 1013364199
Psychiatric/Mental Health physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since May 19, 2016.
## Identity
- **NPI:** 1013364199 (Entity type: Individual)
- **Enumerated:** May 19, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** CNP 4630 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1155 FORD RD, SUITE B, St Louis Park, MN 55426-1099
- **Phone:** (952) 378-1800 · **Fax:** (952) 378-1714
## 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:** Sonder Behavioral Health & Wellness, Inc. (NPI 1780031732, Minnetonka, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 26, 2017
- **Other identifiers:** Medicare PIN H400360502 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1013364199) · Data from the CMS NPPES public registry.