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POALA D. PRUDE-HALL M.D.
NPI 1093889503
Family Medicine in Lansing, MI

Active since November 17, 2006PECOS Enrolled
505 N CLIPPERT ST, LANSING URGENT CARE, LANSING, MI 48912(517) 333-9200(517) 333-9201 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Poala D. Prude-hall M.d. NPPES

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

POALA D. PRUDE-HALL M.D. (NPI 1093889503) is an individual family medicine provider in Lansing, Michigan, licensed in Michigan (4301058586) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093889503
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePOALA D. PRUDE-HALLCredential: M.D.
Location Address505 N CLIPPERT ST, LANSING URGENT CARELansing, MI 48912-4701
Mailing Address505 North ClippertLansing, MI 48912 · (517) 333-9200
Phone(517) 333-9200
Fax(517) 333-9201
Sole ProprietorNo
Enumeration DateNovember 17, 2006
Last NPPES UpdateNovember 15, 2013
✔ NPI 1093889503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301058586
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
505 N CLIPPERT ST, Lansing, MI 48912
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Other Identifiers 6

Other080H262390Blue Cross-blue Cross
Medicare ID-Type Unspecified0H26239105
Medicaid327176910MI
OtherPP058586Commercial-commercial Number
OtherPP058586Champus-champus
Medicare UPINE81470

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Poala D. Prude-hall M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Poala Prude-hall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Health System
77 mi
Pediatrics
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1003990318 (313) 916-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

BROOK A RICHARD PA-C
Physician Assistant
505 N CLIPPERT ST
LANSING, MI 48912
Ingham County (517) 999-2273
KATHERINE LYNN WARD PA-C
Physician Assistant
505 N CLIPPERT ST
LANSING, MI 48912
Ingham County (517) 999-2273
JESSICA MICHELE BAKER
Physician Assistant
505 N CLIPPERT ST
LANSING, MI 48912
Ingham County (517) 999-2273
BREANNA VICTORIA BUKOSKI PA-C
Physician Assistant
505 N CLIPPERT ST
LANSING, MI 48912
Ingham County (517) 999-2273
MICHAELA FROST
Physician Assistant (Medical)
505 N CLIPPERT ST
LANSING, MI 48912
Ingham County (517) 999-2273
HEATHER BOYCE PA
Physician Assistant
505 N CLIPPERT ST
LANSING, MI 48912
Ingham County (517) 999-2273
KAILYN JEAN STRICKLER PA-C
Clinic/Center (Urgent Care)
505 N CLIPPERT ST
LANSING, MI 48912
Ingham County (517) 999-2273
KYRIE BRONKEMA PA
Physician Assistant
505 N CLIPPERT ST
LANSING, MI 48912
Ingham County (517) 999-2273

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 Poala Prude-hall's NPI number?

The NPI number for Poala Prude-hall is 1093889503. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Poala Prude-hall located?

Poala Prude-hall practices at 505 N Clippert St Lansing Urgent Care, Lansing, MI 48912. The listed phone number is (517) 333-9200.

What is Poala Prude-hall's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Poala Prude-hall enrolled in Medicare?

Yes. Poala Prude-hall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Poala Prude-hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poala Prude-hall reassigns Medicare benefits to Henry Ford Health System (Detroit, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Poala Prude-hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Poala Prude-hall was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.