KENNDAL SOTO AGACNP-BC
NPI 1093317133
Nurse Practitioner - Acute Care in Detroit, MI

Active since November 13, 2020PECOS EnrolledAccepts Medicare Assignment
2799 W GRAND BLVD, DETROIT, MI 48202(800) 653-6568(313) 876-1305 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2022, Mar 15, 2021, Nov 13, 2020 (3 updates tracked since 2020).

About Kenndal Soto Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNDAL SOTO AGACNP-BC (NPI 1093317133) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704299368) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1093317133
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKENNDAL SOTOCredential: AGACNP-BC
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806 · Fax (313) 876-1305
Fax(313) 876-1305
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2021
Enumeration DateNovember 13, 2020
Last NPPES UpdateDecember 7, 20223 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
NPI 1093317133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in MI · 4704299368 Licensed in OH · APRN.CNP.0028440
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.0028440 (OH), 4704299368 (MI)
2799 W GRAND BLVD, Detroit, MI 48202

Secondary Practice Locations 3

Location 1730 N Macomb St Ste 228Monroe, MI 48162 · Phone (734) 457-5580 · Fax (734) 244-7368
Location 22940 N McCord RdToledo, OH 43615 · Phone (419) 842-3000 · Fax (419) 291-9883
Location 38669 MauriceNewport, MI 48166-9408 · Phone (734) 770-4035

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kenndal Soto Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648687665
PECOS Enrollment IDI20210318000817
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
2799 W GRAND BLVD
DETROIT, MI 48202
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2799 W GRAND BLVD, WP-1102A
DETROIT, MI 48202
Pathology (Anatomic Pathology & Clinical Pathology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD, HENRY FORD DEPT. OF RADIOLOGY
DETROIT, MI 48202
Physician Assistant
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Infectious Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD, DEPT OF DIAGNOSTIC RADIOLOGY
DETROIT, MI 48202
Psychiatry & Neurology (Psychiatry)
2799 W GRAND BLVD, DEPARTMENT OF BEHAVORIAL HEALTH
DETROIT, MI 48202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenndal Soto's NPI number?

The NPI number for Kenndal Soto is 1093317133. It was assigned to this individual provider in the NPPES registry on November 13, 2020.

Where is Kenndal Soto located?

Kenndal Soto practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (800) 653-6568.

What is Kenndal Soto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kenndal Soto enrolled in Medicare?

Yes. Kenndal Soto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenndal Soto accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and Priority Health list Kenndal Soto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kenndal Soto affiliated with any hospitals?

According to CMS data, Kenndal Soto is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Kenndal Soto was last updated on December 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.