KELLY HALL (NP) – Nurse Practitioner, NPI 1629198478

KELLY HALL (NP) is a healthcare provider. based in Canton, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704190838 (MI). The NPI Number for KELLY HALL (NP) is 1629198478

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KELLY HALL (NP)
NPI
1629198478
Phone
(734) 526-8860
Address
6200 N Haggerty Rd
Enumeration Date
29 March 2007
Last Update Date
9 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884087008
Graduation Year
2004 (22 years ago)
PAC ID
6103991930
Group Practice PAC ID
5193156115
Professional Enrollment ID
I20080813000655
Address ID
MI497709295PE1500XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for KELLY HALL (NP)

  • 6200 N Haggerty Rd

    Canton, MI 481873605

    Phone: (734) 526-8860

    Fax: (734) 353-4108

    Type: Location

  • 6200 N HAGGERTY RD

    CANTON, MI 481873605

    Phone: (734) 526-8860

    Fax: (734) 353-4108

    Type: Mailing

  • 1003 E Mount Hope Ave

    Lansing, MI 489101822

    Phone: (517) 853-3704

    Fax: (855) 501-6733

    Type: Location

  • PO BOX 639295

    CINCINNATI, OH 452639295

    Phone: (248) 824-6000

    Fax: (855) 618-6655

    Type: Mailing

  • 1194 OAK VALLEY DR STE 80B

    ANN ARBOR, MI 481088942

    Phone: (734) 975-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 106 Open Payments records for all available years, with a total value of $2,129.

Total Amount is formed as General ($2,129) + Research ($0) + Ownership ($0) = $2,129.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($508).

Total Amount

$2,129

General + Research + Ownership

Payments

106

Total payment records

General Amount

$2,129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2008-08-13

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
I20080813000655INurse PractitionerMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4227$0
99213Established patient office or other outpatient visit, 20-29 minutes3528$0
83036Hemoglobin a1c level1816$0
G0444Annual depression screening, 5 to 15 minutes1414$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 48187)

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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: 5193156115View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerMO
Nurse PractitionerOR
Nurse PractitionerMI
Nurse PractitionerIL
Nurse PractitionerIN
Internal MedicineWA
Internal MedicineIA
Nurse PractitionerCA
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does KELLY HALL (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELLY HALL (NP) uses 1629198478.
Does the file indicate KELLY HALL (NP) is practicing under active NPI?
Directory data currently reports KELLY HALL (NP) as active.
What taxonomy line describes KELLY HALL (NP)?
For research purposes, treat KELLY HALL (NP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does KELLY HALL (NP) list a practice location?
Patients near Canton, Michigan may find KELLY HALL (NP) in results; validate coverage separately.
Why does KELLY HALL (NP) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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