HERMELA DANIEL HAILEYESUS NP
NPI 1235848441
Nurse Practitioner - Family in Apple Valley, MN
About Hermela Daniel Haileyesus Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERMELA DANIEL HAILEYESUS NP (NPI 1235848441) is an individual family provider in Apple Valley, Minnesota, licensed in Minnesota (9715) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Hermela Daniel Haileyesus Np 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 Reassignments
3Medicare enrollment records show Hermela Haileyesus reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Apple Valley, MN 55124
- Reassigned Medicare billing, Minnesota enrollment
- 2,609 clinicians in this Medicare group
Savage, MN 55378
- Reassigned Medicare billing, Minnesota enrollment
- 320 clinicians in this Medicare group
Shakopee, MN 55379
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Suburban Emergency Associates PA
- 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 6
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 55124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Hermela Haileyesus's NPI number?
The NPI number for Hermela Haileyesus is 1235848441. It was assigned to this individual provider in the NPPES registry on November 16, 2022.
Where is Hermela Haileyesus located?
Hermela Haileyesus practices at 14655 Galaxie Ave, Apple Valley, MN 55124. The listed phone number is (952) 594-2060.
What is Hermela Haileyesus's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Hermela Haileyesus enrolled in Medicare?
Yes. Hermela Haileyesus 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 organizations bill Medicare for Hermela Haileyesus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hermela Haileyesus reassigns Medicare benefits to 3 organizations: Allina Health System (Apple Valley, MN), St Francis Regional Medical Center (Savage, MN) and Suburban Emergency Associates, P.A. (Shakopee, MN). Each 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 Hermela Haileyesus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Hermela Haileyesus was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Hermela Daniel Haileyesus, NP · NPI 1235848441
Family physician in Apple Valley, Minnesota. Individual provider, active in the CMS NPPES registry since November 16, 2022.
## Identity
- **NPI:** 1235848441 (Entity type: Individual)
- **Enumerated:** November 16, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9715 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 14655 GALAXIE AVE, Apple Valley, MN 55124-8602
- **Phone:** (952) 594-2060
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1700427499, Apple Valley, MN); St Francis Regional Medical Center (NPI 1689103442, Savage, MN); Suburban Emergency Associates, P.A. (NPI 1134173628, Shakopee, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1235848441) · Data from the CMS NPPES public registry.