HALEY MARIE ELLIS CNP
NPI 1306485172
Nurse Practitioner - Family in Watertown, SD
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 Ortonville Area Health Services, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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 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.
Medicare Billing Reassignment
Medicare enrollment records show Haley Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Watertown, SD 57201
- Reassigned Medicare billing, South Dakota enrollment
- 109 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 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ortonville Area Health Services
Critical Access Hospitals · Ortonville, MNPrairie Lakes Healthcare System, Inc
Acute Care Hospitals · Watertown, SDSanford Hospital Webster - Cah
Critical Access Hospitals · Webster, SDMilbank Area Hospital/Avera Health
Critical Access Hospitals · Milbank, SDCoteau Des Prairies Health Care System
Critical Access Hospitals · Sisseton, SDPhysician 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.
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.
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.
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.
WATERTOWN, SD 57201
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.
Which organization bills Medicare for Haley Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haley Ellis reassigns Medicare benefits to Prairie Lakes Health Care System Inc (Watertown, SD). 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 Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Haley Ellis accept?
Health plans from Avera Health Plans, Sanford Health Plan and Wellmark of South Dakota, Inc. 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 Ortonville Area Health Services, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 Marie Ellis, CNP · NPI 1306485172
Family physician in Watertown, South Dakota. Individual provider, active in the CMS NPPES registry since December 27, 2019.
## Identity
- **NPI:** 1306485172 (Entity type: Individual)
- **Enumerated:** December 27, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CP001704 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 9TH AVE NW, Watertown, SD 57201-1548
- **Phone:** (605) 882-7000 · **Fax:** (605) 882-7819
## 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:** Prairie Lakes Health Care System Inc (NPI 1720166002, Watertown, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1306485172) · Data from the CMS NPPES public registry.