KELSIE DIAL (AGPCNP-BC) – Adult Health Nurse Practitioner, NPI 1881165835

KELSIE DIAL (AGPCNP-BC) is a healthcare provider. based in Ann arbor, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. 2018015741 (MI). The NPI Number for KELSIE DIAL (AGPCNP-BC) is 1881165835

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KELSIE DIAL (AGPCNP-BC)
NPI
1881165835
Phone
(126) 933-9792
Address
714 HENRY ST APT 4
Enumeration Date
16 December 2018
Last Update Date
3 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172051431
Graduation Year
2018 (8 years ago)
PAC ID
7810221033
Group Practice PAC ID
0244136067
Professional Enrollment ID
I20190621001946
Address ID
MI492011853JA1201XAVEX408

Contacts

Secure Messaging
ksmith93@direct.hfhs.org
Secure Messaging
ksmith563455@direct.hfhs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for KELSIE DIAL (AGPCNP-BC)

  • 714 HENRY ST APT 4

    ANN ARBOR, MI 481044366

    Phone: (126) 933-9792

    Type: Mailing

  • 2301 HOPPE RD

    CHELSEA, MI 481189314

    Phone: (269) 339-7924

    Type: Mailing

  • 300, West Michigan Avenue, Parma, Sandstone Charter Township, Jackson County, Michigan, 49269, United States

    JACKSON, MI 492011853

    Phone: (517) 205-1431

    Type: Location

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: 2019-06-21

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
I20190621001946INurse 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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 48104)

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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: 0244136067View full group profile

Reviews

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Frequently asked questions

What number should I use to identify KELSIE DIAL (AGPCNP-BC) for billing?
Administrative and clinical systems typically use NPI 1881165835 for KELSIE DIAL (AGPCNP-BC).
Is KELSIE DIAL (AGPCNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists KELSIE DIAL (AGPCNP-BC) as active.
What does the directory say KELSIE DIAL (AGPCNP-BC) does?
Insurance directories may phrase it differently, but here KELSIE DIAL (AGPCNP-BC) maps to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KELSIE DIAL (AGPCNP-BC)?
KELSIE DIAL (AGPCNP-BC) shows a connection to Ann Arbor, Michigan in registry-derived data.
Who maintains KELSIE DIAL (AGPCNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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