Individual provider Active NPI

Hailey Sellek

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1578143459
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4671896 Issued in ID
Practice address
6051 W Emerald St
Boise, ID 83704-8969
Phone
(208) 302-5100
Fax
(208) 302-5155
NPI assigned
Apr 13, 2021
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 103031-875 WI
Family Medicine Physician 207Q00000X 036.167759 IL
Family Medicine Physician 207Q00000X 4671896 ID Primary

Addresses

Primary practice location

6051 W Emerald St
Boise, ID 83704-8969

Mailing address

6051 W Emerald St
Boise, ID 83704-8969
Phone (217) 249-1077

Other practice location 1

8914 N Knoxville Ave
Peoria, IL 61615-1410
Phone (309) 691-9110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, ID3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240320001977 IL Practitioner - Family Practice 5890132336 Reassigns benefits to 4 organizations
I20251205003880 WI Practitioner - Family Practice 5890132336 Reassigns benefits to 1 organization
I20260427001846 ID Practitioner - Family Practice 5890132336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Meriter Hospital IncGroup PAC ID 3971412735, 122 clinicians
Proctor Health SystemsGroup PAC ID 3476440173, 131 clinicians
Methodist Medical Center of IllinoisGroup PAC ID 1355259714, shared by 8 NPIs, 387 clinicians

Practice addresses (Care Compare)

1909 N Morton Ave
Morton, IL 61550-1426
Phone (309) 263-4343

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6000

3591 Griffin Ave
Pekin, IL 61554-6258

3915 Barring Trce
Peoria, IL 61615-2500
Phone (309) 689-6280

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977

8914 N Knoxville Ave
Peoria, IL 61615-1410
Phone (309) 691-9110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4671896IDMDFamily Medicine Physician
036.167759ILMDFamily Medicine Physician
103031-875WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proctor Health Systems Family Medicine Current Accepting new patients
Carle Health Medical Group Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Oct 1, 2025 Accepting new patients
Methodist Medical Center of Illinois Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Proctor Health Systems Family Medicine CurrentSince Feb 6, 2024 Accepting new patients
Meriter Hospital, Inc. Current Accepting new patients
Proctor Health Systems CurrentSince Feb 6, 2024 Accepting new patients
Meriter Hospital, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Oct 1, 2025 Accepting new patients
Meriter Hospital, Inc. Past Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464

120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

221 NE Glen Oak Ave
#100
Peoria, IL 61636

3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

815 Main St
Ste C
Peoria, IL 61602
Phone (309) 672-4986

8914 N Knoxville Ave
Peoria, IL 61615
Phone (309) 691-9110

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

4200 Savannah Dr
Deforest, WI 53532
Phone (608) 417-3300

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

Interoperability endpoints

  • Direct secure messaging: hsellekmd388642@carlehiedirect.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1578143459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048969",
            "telephone_number": "217-249-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048969",
            "telephone_number": "208-302-5100",
            "fax_number": "208-302-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8914 N Knoxville Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616151410",
            "country_code": "US",
            "telephone_number": "309-691-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELLEK",
        "first_name": "HAILEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "103031-875",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.167759",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "4671896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.