Individual provider Active NPI

Kelly Hall, NP

  • Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1629198478
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704190838 Issued in MI
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

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1629198478MedicaidMI

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
I20080813000655 MI Practitioner - Nurse Practitioner 6103991930 Reassigns benefits to 6 organizations

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
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

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

OrganizationSpecialtyStatusNew patients
Altea Medical Maryland LLC CurrentSince Feb 17, 2026 Accepting new patients
Vpa PC CurrentSince May 1, 2025 Accepting new patients
Altea Medical Michigan PLLC CurrentSince Feb 17, 2026 Accepting new patients
Vpa PC Current Accepting new patients
Medical Rehabilitation Physicians PLC CurrentSince Jan 15, 2015 Accepting new patients
Iah of Michigan, PLLC CurrentSince May 11, 2025 Accepting new patients
Vpa PC CurrentSince May 1, 2025 Accepting new patients
Capital Internal Medicine Associates P.C. CurrentSince Jul 6, 2023 Accepting new patients
Healthtexas Provider Network PastSince Jul 1, 2023 Accepting new patients
Balance Rehab LLC PastSince Jan 22, 2023 Accepting new patients
Lansing Urgent Care, PLC Past Accepting new patients
Edward Gomez-Seoane MD & Silvia Gomez-Seoane MD PC PastSince Jan 10, 2011 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.

View all 13

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

Verify at the official NPI Registry.