HALEY MARIE ELLIS CNP
NPI 1306485172
Nurse Practitioner - Family in Watertown, SD

Active since December 27, 2019PECOS EnrolledAccepts Medicare Assignment
97.75/100
CMS Quality Rating
401 9TH AVE NW, WATERTOWN, SD 57201(605) 882-7000(605) 882-7819 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2020, Dec 27, 2019 (2 updates tracked since 2019).

About Haley Marie Ellis Cnp NPPES

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

HALEY MARIE ELLIS CNP (NPI 1306485172) is an individual family provider in Watertown, South Dakota, licensed in South Dakota (CP001704) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Prairie Lakes Healthcare System, Inc, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306485172
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHALEY MARIE ELLISCredential: CNP
Location Address401 9TH AVE NWWatertown, SD 57201-1548
Mailing Address401 9th Ave NwWatertown, SD 57201-1548 · (605) 882-7000 · Fax (605) 882-7819
Fax(605) 882-7819
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 27, 2019
Last NPPES UpdateMarch 4, 20202 updates tracked since enumeration
NPPES CertifiedMarch 4, 2020
NPI 1306485172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SD · CP001704
Also ListedRegistered NurseTaxonomy 163W00000X · License R036298 (SD)
401 9TH AVE NW, Watertown, SD 57201

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 Marie Ellis Cnp 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 ID4789013665
PECOS Enrollment IDI20200327000723, I20200505001011
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
243 services196 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
66 services66 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
26 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

Sanford Hospital Webster - Cah

Critical Access Hospitals · Webster, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431311
Location1401 W First St Post Office Box 489Webster, SD 57274 · Day County
Emergency services

Milbank Area Hospital/Avera Health

Critical Access Hospitals · Milbank, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431326
Location301 Flynn DriveMilbank, SD 57252 · Grant County
Emergency services

Coteau Des Prairies Health Care System

Critical Access Hospitals · Sisseton, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431339
Location205 Orchard DrSisseton, SD 57262 · Roberts County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57201 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

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.

97.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability99
Improvement Activities40
Cost93.34

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers13 claims13 services$118.50 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
6 suppliers18 claims1,080 services$5.78 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
4 suppliers17 claims960 services$0.78 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
6 suppliers21 claims21 services$25.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Adult Health)
401 9TH AVE NW
WATERTOWN, SD 57201
Physician Assistant (Medical)
401 9TH AVE NW
WATERTOWN, SD 57201
Internal Medicine (Interventional Cardiology)
401 9TH AVE NW
WATERTOWN, SD 57201
Orthopaedic Surgery
401 9TH AVE NW
WATERTOWN, SD 57201
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Speech-Language Pathologist
401 9TH AVE NW
WATERTOWN, SD 57201

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 Ellis's NPI number?

The NPI number for Haley Ellis is 1306485172. It was assigned to this individual provider in the NPPES registry on December 27, 2019.

Where is Haley Ellis located?

Haley Ellis practices at 401 9th Ave NW, Watertown, SD 57201. The listed phone number is (605) 882-7000.

What is Haley Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Haley Ellis enrolled in Medicare?

Yes. Haley Ellis 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 Ellis accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Haley Ellis 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.

Is Haley Ellis affiliated with any hospitals?

According to CMS data, Haley Ellis is affiliated with Prairie Lakes Healthcare System, Inc, Sanford Hospital Webster - Cah, Milbank Area Hospital/Avera Health and Coteau Des Prairies Health Care System.

When was this NPI record last updated?

The NPPES record for Haley Ellis was last updated on March 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.