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HALEY NICOLE PRITZ RD
NPI 1699485383
Dietitian, Registered in Bloomington, IL

Active since December 02, 2022
3024 E EMPIRE ST, BLOOMINGTON, IL 61704(309) 556-7230 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Haley Nicole Pritz Rd NPPES

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

HALEY NICOLE PRITZ RD (NPI 1699485383) is an individual dietitian, registered in Bloomington, Illinois, licensed in Illinois (164.008915) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1699485383
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameHALEY NICOLE PRITZCredential: RD
Location Address3024 E EMPIRE STBloomington, IL 61704-5402
Mailing Address1287 Healing Stone Ct Apt 10Normal, IL 61761-9591 · (815) 274-4942
Phone(309) 556-7230
Sole ProprietorNo
Enumeration DateDecember 2, 2022
NPPES CertifiedDecember 2, 2022
✔ NPI 1699485383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IL · 164.008915
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
3024 E EMPIRE ST, Bloomington, IL 61704
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Other Names 1

Former Name (1)Haley Nicole Pucel Rd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haley Nicole Pritz Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Haley Pritz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ssm Cardinal Glennon Childrens Hospital
142 mi
Pediatrics
1 SAINT ELIZABETH BLVD
O Fallon, IL 62269
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group
NPI 1174577670 (618) 234-2120

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

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

CHERYL HANSEN APRN
Nurse Practitioner (Family)
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 454-4411
DR. AARON REID TRAEGER MD
Pediatrics
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 556-7337
KILMENY CLARK
Physician Assistant
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 556-7556
PAIGE SHAROLYNN CAREY MS, RDN, LDN
Dietitian, Registered
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 268-3927
DR. ANDREA MICHELLE KANE MD
Pediatrics
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 556-7337
CAITLIN HALLATT NP
Nurse Practitioner (Family)
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 556-7556
KARYN W FLORES
Nurse Practitioner (Psychiatric/Mental Health)
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 556-7500
BRANDON JEREMY GREENFIELD MD
Psychiatry & Neurology (Psychiatry)
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 556-7800

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 Pritz's NPI number?

The NPI number for Haley Pritz is 1699485383. It was assigned to this individual provider in the NPPES registry on December 2, 2022. The provider is also known as Haley Nicole Pucel Rd.

Where is Haley Pritz located?

Haley Pritz practices at 3024 E Empire St, Bloomington, IL 61704. The listed phone number is (309) 556-7230.

What is Haley Pritz's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Haley Pritz enrolled in Medicare?

Yes. Haley Pritz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Haley Pritz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haley Pritz reassigns Medicare benefits to Ssm Cardinal Glennon Childrens Hospital (O Fallon, IL). 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 Pritz'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 Haley Pritz was last updated on December 2, 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.