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HAILEY SIERRA POMONIS FNP
NPI 1750980124
Nurse Practitioner - Psychiatric/Mental Health in Bismarck, ND

Active since October 18, 2020PECOS EnrolledAccepts Medicare Assignment
83.98/100
CMS Quality Rating
1800 E INTERSTATE AVE STE B, BISMARCK, ND 58503(701) 323-6543 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2022, Oct 18, 2020 (2 updates tracked since 2020).

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

NPI1750980124
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHAILEY SIERRA POMONISCredential: FNP
Location Address1800 E INTERSTATE AVE STE BBismarck, ND 58503-1566
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(701) 323-6543
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 18, 2020
Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1750980124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ND · R40527
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F08200113 (ND)
1800 E INTERSTATE AVE STE B, Bismarck, ND 58503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and more.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

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.

PECOS PAC ID3870906183
PECOS Enrollment IDI20210106000275
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 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.

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.
85 services30 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
21 services12 patients

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, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

83.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability99
Improvement Activities40
Cost68.15

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.

NICOLE L CROSS-HILLMAN PSY.D.
Psychologist
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Burleigh County (701) 323-6543
DARLA J STAFFORD LICSW
Social Worker (Clinical)
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Burleigh County (701) 323-6543
CHERYL E HUBER MD
Psychiatry & Neurology (Psychiatry)
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Burleigh County (701) 323-6543
RICHARD E ARNDORFER PHD
Psychologist
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Burleigh County (701) 323-6543
KAITLIN BITTERMAN LBSW
Social Worker (Clinical)
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Burleigh County (701) 323-2941
PREM NATH PATHAK MBBS
Psychiatry & Neurology (Psychiatry)
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Burleigh County (701) 323-6543
DR. MICHAEL AV MIRZAI MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Burleigh County (701) 323-6543
HANNAH BAILEY
Nurse Practitioner
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Burleigh County (701) 323-5492

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.

What insurance does Hailey Pomonis accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, 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.