NPIMap

Kevin Lee Hair, NP-C

Individual provider Active NPI Acute Care Nurse Practitioner · Paris, IL

NPI 1962036558 · NPPES record last updated Mar 22, 2022

Key facts

NPI
1962036558
Entity type
Individual (NPI type 1)
Primary specialty
Acute Care Nurse Practitioner 363LA2100X
License
209020837 (IL)
Practice address
1 Phipps LN
Paris, IL 61944-2919
Phone
(217) 463-4340
NPI assigned
Feb 24, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 22

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.

Hospital & facility affiliations 3

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital and Medical Foundation of Paris Inc (123 clinicians)
Union Associated Physicians Clinic, LLC (230 clinicians)

Practice addresses (Care Compare)

1000 N 2ND St
Marshall, IL 62441-4263
Phone (217) 826-3299

2133 S State Rd
Suite 46
Terre Haute, IN 47803-9781
Phone (812) 232-0564

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

727 E Court St
Paris, IL 61944-2460
Phone (217) 465-8411

745 E Court St
Paris, IL 61944-2460
Phone (217) 466-4170

Hospital & facility affiliations

  • Paris Community Hospital Hospital · Paris, IL · CCN 141320
  • Union Hospital Inc Hospital · Terre Haute, IN · CCN 150023

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IL, IN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200413002546 IL Practitioner - Nurse Practitioner 2466882568 Reassigns benefits to 2 organizations
I20221223000643 IN Practitioner - Nurse Practitioner 2466882568 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28167157AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital & Medical Foundation of Paris, Inc. Current
since May 1, 2020		 Accepting new patients
Union Associated Physicians Clinic, LLC Current
since Jan 9, 2022		 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current
since May 1, 2020		 Accepting new patients
Union Associated Physicians Clinic LLC Current
since Jan 9, 2022		 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients

Locations

1000 N 2nd St
Marshall, IL 62441
Phone (217) 826-3299

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

1 Phipps Ln
Paris, IL 61944
Phone (217) 463-4340

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28167157A IN
Acute Care Nurse Practitioner 363LA2100X 209020837 IL Yes

Addresses

Primary practice location

1 Phipps LN
Paris, IL 61944-2919

Mailing address

10490 N US Highway 41
Rosedale, IN 47874-9126
Phone (812) 249-8142

Other providers in Paris, IL

All providers in Paris, IL · Acute Care Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.