Individual provider Active NPI

Kristin Halsell, PA-C

  • Physician Assistant
  • East Lansing, MI
National Provider Identifier
1629024856
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004358 Issued in MI
Practice address
2852 Eyde Pkwy Ste 175
East Lansing, MI 48823-5378
Phone
(517) 333-4600
Fax
(517) 841-6917
NPI assigned
May 26, 2006
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004358 MI Primary

Addresses

Primary practice location

2852 Eyde Pkwy Ste 175
East Lansing, MI 48823-5378

Mailing address

Department 272801
PO Box 67000
Detroit, MI 48267-2728
Phone (517) 841-6913

Other practice location 1

820 Spring St
Grand Ledge, MI 48837-1834
Phone (517) 925-5590

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050202000792 MI Practitioner - Physician Assistant 5092766477 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles (60 of 72)

OrganizationSpecialtyStatusNew patients
Sparrow Eaton Hospital CurrentSince Feb 1, 2025 Accepting new patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince Aug 6, 2004 Accepting new patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince Aug 6, 2004 Accepting new patients
Sparrow Eaton Hospital CurrentSince Feb 1, 2025 Accepting new patients
Henry Ford Pathology Current Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
Wa Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
Wa Foote Memorial Hospital Inc. PastSince Jan 1, 1990 Accepting new patients
Sparrow Eaton Hospital Past Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
Wa Foote Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W a Foote Memorial Hospital Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients
Allegiance Occupational Health PastSince Jan 1, 1990 Accepting new patients
Wa Foote Memorial Hospital Inc. PastSince Jan 1, 1990 Accepting new patients
Sams Physical Therapy PC PastSince Nov 3, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
Wa Foote Memorial Hospital, Inc Physician Assistant PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W. a. Foote Memorial Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients
W a Foote Memorial Hospital Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W. a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
Wa Foote Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W a Foote Memorial Hospital Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
Wa Foote Memorial Hospital, Inc PastSince Jan 1, 1990 Accepting new patients
W.a. Foote Memorial Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Organizations & group practices 75

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

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1629024856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT 272801",
            "address_2": "PO BOX 67000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482672728",
            "telephone_number": "517-841-6913",
            "fax_number": "517-841-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 EYDE PKWY STE 175",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235378",
            "telephone_number": "517-333-4600",
            "fax_number": "517-841-6917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Spring St",
            "address_purpose": "LOCATION",
            "city": "Grand Ledge",
            "state": "MI",
            "postal_code": "488371834",
            "country_code": "US",
            "telephone_number": "517-925-5590",
            "fax_number": "517-925-5591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALSELL",
        "first_name": "KRISTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.