VICTORIA HALLETT (D.O.) – Family Medicine Physician, NPI 1235354457

Family Medicine Physician

VICTORIA HALLETT (D.O.) is a healthcare provider. based in Brooklyn, Michigan. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 5101011048 (MI). The NPI Number for VICTORIA HALLETT (D.O.) is 1235354457

Main info

Female

36 Years Of Experience

Accepts Medicare Assignment

Name

VICTORIA HALLETT (D.O.)

NPI

1235354457

Phone

(517) 592-6047

Address

212 S MAIN ST

Enumeration Date

14 April 2007

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5175926047

Graduation Year

1990 (36 years ago)

PAC ID

3375799588

Group Practice PAC ID

2264511476

Professional Enrollment ID

I20120803000148

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for VICTORIA HALLETT (D.O.)

212 S MAIN ST
BROOKLYN, MI 492309114
Phone: (517) 592-6047
Fax: (517) 787-0730
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-08-03

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20120803000148	I	General Practice	MI	TBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49230)

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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: 2264511476View full group profile

Name	Specialty	State
GENE E KIELHORN (DO)	-	MI
GARY MIKESELL (DO)	-	WY
DR. CORNELIO L. NAGUIT (M.D.)	-	MI
Unknown Individual	-	MI

Reviews

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Frequently asked questions

How is VICTORIA HALLETT (D.O.) identified in CMS data?

CMS-hosted NPPES data lists VICTORIA HALLETT (D.O.) with NPI 1235354457.

Can I rely on VICTORIA HALLETT (D.O.) being an active provider?

As of the registry snapshot, VICTORIA HALLETT (D.O.) is marked active.

What taxonomy line describes VICTORIA HALLETT (D.O.)?

For research purposes, treat VICTORIA HALLETT (D.O.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

Does VICTORIA HALLETT (D.O.) list a practice location?

Patients near Brooklyn, Michigan may find VICTORIA HALLETT (D.O.) in results; validate coverage separately.

Why does VICTORIA HALLETT (D.O.) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.