Kayla Erin Halleck, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601012788 Issued in MI

Practice address

34025 Harper Ave
Clinton Township, MI 48035-3737

Phone

(586) 445-9900

NPI assigned

Sep 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Neurology Associates PCGroup PAC ID 8628987468, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
• Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
• Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
• Surgeons Choice Medical Center Hospital, Southfield, MI, CCN 230301

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michiganneurologyassociates.kaylahalleck@158246.advancedmd-direct.com
• Direct secure messaging: khalleck725752@direct.hfhs.org

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

• Michigan Neurology Associates PC

  • Neurology Physician
  • St Clair Shores, MI
  • NPI 1861498362
  Medicare reassignment Care Compare group NPD

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

• Henry Ford Health Macomb Oakland Hospital

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1124099858
  Care Compare affiliation
• Henry Ford Health Macomb Oakland Hospital

  • General Acute Care Hospital
  • Madison Heights, MI
  • NPI 1215139233
  Care Compare affiliation
• Southfield Rehabilitation Company

  • Diagnostic Radiology Physician
  • Dearborn, MI
  • NPI 1285906792

  Hospital

  Care Compare affiliation
• Southfield Rehabilitation Company

  • Diagnostic Radiology Physician
  • Warren, MI
  • NPI 1477722585

  Hospital

  Care Compare affiliation
• Southfield Rehabilitation Company

  • Ambulatory Surgical Clinic/Center
  • Warren, MI
  • NPI 1619969540

  Hospital

  Care Compare affiliation
• Southfield Rehabilitation Company

  • Rehabilitation Hospital Unit
  • Southfield, MI
  • NPI 1730337601
  Care Compare affiliation
• Southfield Rehabilitation Company

  • General Acute Care Hospital
  • Southfield, MI
  • NPI 1790785095
  Care Compare affiliation
• William Beaumont Hospital

  • Hospitalist Physician
  • Royal Oak, MI
  • NPI 1811044878
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation
• Henry Ford Health St. John Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  Care Compare affiliation

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1023835808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9347 SPARLING RD",
            "city": "WALES",
            "state": "MI",
            "postal_code": "480271807",
            "telephone_number": "586-770-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34025 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353737",
            "telephone_number": "586-445-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLECK",
        "first_name": "KAYLA",
        "middle_name": "ERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Marie Hall, DPT
• Jay Steven Hall, TLLP
• Kevin Matthew Hall
• Lisa Hall
• Natalie Ann Hall
• Brianne Halliwill, OTRL
• Laura Mae Hallman
• Noor Hamadi, PMHNP-BC
• Hamilton Psychological Services
• Hamilton Psychological Services

• Physician Assistant in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.