Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HAILY DATZ
NPI 1013472018
Family Medicine in Mandan, ND

Q: What is Haily Datz's NPI number?

The NPI number for Haily Datz is 1013472018. It was assigned to this individual provider in the NPPES registry on February 4, 2019.

Q: What is Haily Datz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Haily Datz was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.

Active since February 04, 2019PECOS Enrolled

910 18TH ST NW, MANDAN, ND 58554(701) 667-5100(701) 667-5095 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 17, 2026, Jul 17, 2023, Feb 4, 2019 (3 updates tracked since 2019).

On this page

About Haily Datz NPPES

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

HAILY DATZ (NPI 1013472018) is an individual family medicine provider in Mandan, North Dakota, licensed in North Dakota (24648) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013472018

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameHAILY DATZ

Location Address910 18TH ST NWMandan, ND 58554-1612

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419

Phone(701) 667-5100

Fax(701) 667-5095

Sole ProprietorNo

Enumeration DateFebruary 4, 2019

Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1013472018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ND · 24648

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.

910 18TH ST NW, Mandan, ND 58554

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haily Datz 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 58554 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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 17

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

JORDAN BARTH MD

Family Medicine