Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Haley Marie Ellis, CNP

Individual provider Registered Nurse · NPI 1306485172

Haley Marie Ellis, CNP is a Nurse Practitioner in Watertown, South Dakota. Qualified in 2019, 7 years ago. Practices with Prairie Lakes Health Care System Inc, a 112-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
7
Licensed in
SD
In the registry since
2019
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

401 9th Ave NW
Watertown, SD 57201-1548
Phone: (605) 882-7000
Fax: (605) 882-7819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CP001704 (SD)
Registered Nurse Taxonomy 163W00000X · Licence R036298 (SD)

Record details

NPI number1306485172
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedDecember 27, 2019
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prairie Lakes Health Care System Inc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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