Active NPI
Kelly Hall, NP
- Nurse Practitioner
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704190838
- Practice address
- 1194 Oak Valley Dr Ste 80B
Ann Arbor, MI 48108-8942 - Phone
- (734) 975-5000
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704190838 | MI | Primary |
Addresses
Primary practice location
1194 Oak Valley Dr Ste 80B
Ann Arbor, MI 48108-8942
Mailing address
PO Box 639295
Cincinnati, OH 45263-9295
Phone (248) 824-6000
Other practice location 1
6200 N Haggerty Rd
Canton, MI 48187-3605
Phone (734) 526-8860
Other practice location 2
1003 E Mount Hope Ave
Lansing, MI 48910-1822
Phone (517) 853-3704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629198478 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Spring St
Petoskey, MI 49770-9295
Phone (888) 408-7008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altea Medical Maryland LLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Altea Medical Michigan PLLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Medical Rehabilitation Physicians PLC | Current | Accepting new patients | |
| Iah of Michigan, PLLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Capital Internal Medicine Associates P.C. | Current | Accepting new patients | |
| Healthtexas Provider Network | Past | Accepting new patients | |
| Balance Rehab LLC | Past | Accepting new patients | |
| Lansing Urgent Care, PLC | Past | Accepting new patients | |
| Edward Gomez-Seoane MD & Silvia Gomez-Seoane MD PC | Past | Accepting new patients |
Locations
1194 Oak Valley Dr
Ste 80B
Ann Arbor, MI 48108
3955 Patient Care Dr
Ste A
Lansing, MI 48911
Phone (517) 374-7600
1003 E Mount Hope Ave
Lansing, MI 48910
Phone (517) 853-3704
3955 Patient Care Dr
Lansing, MI 48911
Phone (517) 374-7600
2935 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 772-1609
2935 Health Pkwy
#P
Mt Pleasant, MI 48858
Phone (989) 772-1609
1500 Spring St
Petoskey, MI 49770
Phone (231) 344-6600
23600 Northline Rd
Taylor, MI 48180
Phone (734) 287-2840
500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060
Organizations & group practices 13
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
MI
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth, MI
- NPI 1053142000
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1780629832
-
dba Michigan Spine and Pain
- Psychiatry Physician
- Mt Pleasant, MI
- NPI 1174698336
-
- Geriatric Medicine (Internal Medicine) Physician
- Westminster, MD
- NPI 1770301277
MI
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Troy, MI
- NPI 1578969705
-
- Physical Therapy Clinic/Center
- Flint, MI
- NPI 1629783402
-
- Internal Medicine Physician
- Flint, MI
- NPI 1144484221
-
- Urgent Care Clinic/Center
- Lansing, MI
- NPI 1780987990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1629198478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639295",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639295",
"telephone_number": "248-824-6000",
"fax_number": "855-618-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1194 OAK VALLEY DR STE 80B",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481088942",
"telephone_number": "734-975-5000"
}
],
"practiceLocations": [
{
"address_1": "6200 N Haggerty Rd",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "MI",
"postal_code": "481873605",
"country_code": "US",
"telephone_number": "734-526-8860",
"fax_number": "734-353-4108",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1003 E Mount Hope Ave",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489101822",
"country_code": "US",
"telephone_number": "517-853-3704",
"fax_number": "855-501-6733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "KELLY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704190838",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629198478",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.