Individual provider Active NPI

Kristin Hall, FNP

  • Family Nurse Practitioner
  • Allen Park, MI
National Provider Identifier
1760158216
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704321199 Issued in MI
Practice address
9150 Allen Rd
Allen Park, MI 48101-1436
Phone
(313) 319-8932
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704321199 MI Primary

Addresses

Primary practice location

9150 Allen Rd
Allen Park, MI 48101-1436

Mailing address

8828 Somerset LN
Superior Township, MI 48198-9559

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
I20211101000821 MI Practitioner - Nurse Practitioner 7315335957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.84 of 100Reported as group
Quality
85.89
Promoting interoperability
0
Improvement activities
40
Cost
66.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704321199MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Extended Care Services PC CurrentSince May 7, 2024 Accepting new patients
Michigan Sports and Spine Center PC CurrentSince Jul 6, 2022 Accepting new patients

Locations

725 Fuller Ave
Big Rapids, MI 49307
Phone (231) 796-2631

2975 N Adams Rd
Bloomfld Hls, MI 48304
Phone (248) 645-2900

400 Jeffrey St
Cedar Springs, MI 49319
Phone (616) 696-0170

540 Sunnyside Dr
Flushing, MI 48433
Phone (810) 487-0045

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

25375 Kelly Rd
Roseville, MI 48066
Phone (586) 733-6022

1819 E Big Beaver Rd
Ste 210
Troy, MI 48083
Phone (248) 680-9000

28 S Prospect St
Ypsilanti, MI 48198
Phone (734) 483-2220

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1760158216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8828 SOMERSET LN",
            "city": "SUPERIOR TOWNSHIP",
            "state": "MI",
            "postal_code": "481989559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011436",
            "telephone_number": "313-319-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KRISTIN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704321199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

Verify at the official NPI Registry.