HAILEY SIERRA POMONIS FNP
NPI 1750980124
Nurse Practitioner - Psychiatric/Mental Health in Bismarck, ND
About Hailey Sierra Pomonis Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAILEY SIERRA POMONIS FNP (NPI 1750980124) is an individual psychiatric/mental health provider in Bismarck, North Dakota, licensed in North Dakota (R40527) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and is a graduate of Other (2020).
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
Hailey Sierra Pomonis Fnp 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 Hailey Pomonis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bismarck, ND 58504
- Reassigned Medicare billing, North Dakota enrollment
- 779 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 2
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Medical Center Bismarck
Acute Care Hospitals · Bismarck, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58503 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BISMARCK, ND 58503
BISMARCK, ND 58503
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 Hailey Pomonis's NPI number?
The NPI number for Hailey Pomonis is 1750980124. It was assigned to this individual provider in the NPPES registry on October 18, 2020.
Where is Hailey Pomonis located?
Hailey Pomonis practices at 1800 E Interstate Ave Ste B, Bismarck, ND 58503. The listed phone number is (701) 323-6543.
What is Hailey Pomonis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Hailey Pomonis enrolled in Medicare?
Yes. Hailey Pomonis 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 Hailey Pomonis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hailey Pomonis reassigns Medicare benefits to Sanford Bismarck (Bismarck, ND). 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 Hailey Pomonis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hailey Pomonis accept?
Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Hailey Pomonis 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 Hailey Pomonis affiliated with any hospitals?
According to CMS data, Hailey Pomonis is affiliated with Sanford Medical Center Bismarck.
When was this NPI record last updated?
The NPPES record for Hailey Pomonis was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Hailey Sierra Pomonis, FNP · NPI 1750980124
Psychiatric/Mental Health physician in Bismarck, North Dakota. Individual provider, active in the CMS NPPES registry since October 18, 2020.
## Identity
- **NPI:** 1750980124 (Entity type: Individual)
- **Enumerated:** October 18, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R40527 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1800 E INTERSTATE AVE STE B, Bismarck, ND 58503-1566
- **Phone:** (701) 323-6543
## 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:** Sanford Bismarck (NPI 1811941172, Bismarck, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1750980124) · Data from the CMS NPPES public registry.