ANNELIESE MARIE HALE (PA-C) – Physician Assistant, NPI 1063963809

ANNELIESE MARIE HALE (PA-C) is a healthcare provider. based in Colorado springs, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA.0004819 (CO). The NPI Number for ANNELIESE MARIE HALE (PA-C) is 1063963809

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ANNELIESE MARIE HALE (PA-C)
NPI
1063963809
Phone
(719) 632-4455
Address
4190 E WOODMEN RD STE 100
Enumeration Date
17 October 2016
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7196324455
Graduation Year
2016 (10 years ago)
PAC ID
2860770658
Group Practice PAC ID
3072790864
Professional Enrollment ID
I20161029000135
Address ID
CO809208075CO4190XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

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Provider Addresses for ANNELIESE MARIE HALE (PA-C)

  • East Woodmen Road, Colorado Springs, El Paso County, Colorado, 80927, United States

    COLORADO SPRINGS, CO 809208075

    Phone: (719) 632-4455

    Fax: (719) 633-4613

    Type: Location

  • 400 W 16th St

    Pueblo, CO 810032745

    Phone: (719) 584-4306

    Fax: (719) 595-7886

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,089.

Total Amount is formed as General ($1,089) + Research ($0) + Ownership ($0) = $1,089.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($218).

Total Amount

$1,089

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,089

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161029000135IPhysician AssistantCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes210183$0
99214Established patient office or other outpatient visit, 30-39 minutes7570$0
81002Urinalysis, manual test5949$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus3634$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2323$0
View full utilization report →

Insurance plans in this area (ZIP 80920)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072790864View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Physician AssistantCO
-CO
Internal MedicineCO
-CO
Nurse PractitionerCO
Internal Medicine, Pediatric MedicineCO
Family PracticeTX

Reviews

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Frequently asked questions

What NPI should I save for ANNELIESE MARIE HALE (PA-C)?
Save NPI 1063963809 if you need a stable reference for ANNELIESE MARIE HALE (PA-C).
Is ANNELIESE MARIE HALE (PA-C) active in the national directory?
ANNELIESE MARIE HALE (PA-C)'s public NPI profile is in an active state.
Can you summarize ANNELIESE MARIE HALE (PA-C)'s specialty in plain language?
Clinically, the directory lists ANNELIESE MARIE HALE (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does ANNELIESE MARIE HALE (PA-C) practice in Colorado?
You will see Colorado Springs, Colorado on file for ANNELIESE MARIE HALE (PA-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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