Individual provider Active NPI

Keli E Hall, P.A. (PA-C)

  • Physician Assistant
  • Hot Springs, AR
National Provider Identifier
1699215079
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3633 Central Ave
Ste. N
Hot Springs, AR 71913-6475
Phone
(501) 623-6100
Fax
(501) 623-6187
NPI assigned
Mar 3, 2017
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 Primary

Addresses

Primary practice location

3633 Central Ave
Ste. N
Hot Springs, AR 71913-6475

Mailing address

3633 Central Ave Ste N
Hot Springs, AR 71913-6475
Phone (501) 623-6100

Other identifiers 2

IdentifierTypeStateIssuer
568770ZXSZOtherARMEDICARE
PA718OtherARSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL thedermatologyclinicofarkansas.ema.md Health Information Exchange (HIE) The Dermatology Clinic PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20170428001792 AR Practitioner - Physician Assistant 8820375827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology Clinic PAGroup PAC ID 4789663345, 9 clinicians

Practice addresses (Care Compare)

3633 Central Ave
Suite N
Hot Springs, AR 71913-6475
Phone (501) 623-6100

3633 Central Ave N
Hot Springs, AR 71913-6475

927 S Main St
Malvern, AR 72104-5220
Phone (501) 623-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
70.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology Clinic PA PastSince Feb 23, 2020 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1699215079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 CENTRAL AVE STE N",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136475",
            "telephone_number": "501-623-6100",
            "fax_number": "501-623-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CENTRAL AVE",
            "address_2": "STE. N",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136475",
            "telephone_number": "501-623-6100",
            "fax_number": "501-623-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KELI",
        "middle_name": "E",
        "credential": "P.A. (PA-C)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "568770ZXSZ",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA718",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "thedermatologyclinicofarkansas.ema.md",
            "affiliation": "Y",
            "endpointDescription": "Software system URL for EHR and EMR",
            "affiliationName": "The Dermatology Clinic PA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3633 Central Ave",
            "address_2": "Ste. N",
            "city": "Hot Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719136475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.