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KELLIE ANN HALE NP
NPI 1780241596
Nurse Practitioner - Adult Health in New Haven, CT

Active since May 28, 2019PECOS Enrolled
374 GRAND AVE, NEW HAVEN, CT 06513(203) 777-7411 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 20, 2026, May 28, 2019 (2 updates tracked since 2019).

About Kellie Ann Hale Np NPPES

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

KELLIE ANN HALE NP (NPI 1780241596) is an individual adult health provider in New Haven, Connecticut, licensed in Connecticut (11923) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780241596
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKELLIE ANN HALECredential: NP
Location Address374 GRAND AVENew Haven, CT 06513-3733
Mailing Address374 Grand AveNew Haven, CT 06513-3733 · (203) 777-7411
Phone(203) 777-7411
Sole ProprietorNo
Enumeration DateMay 28, 2019
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1780241596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in CT · 11923✔ Licensed in NY · 309101
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 309101 (NY)
374 GRAND AVE, New Haven, CT 06513
Open in Google Maps ↗

Other Names 1

Former Name (1)Kellie Ann Burns

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Ann Hale Np 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 Kellie Hale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fair Haven Community Health Clinic Inc
Same address
Federally Qualified Health Center (FQHC)
374 GRAND AVE
New Haven, CT 06513
  • Reassigned Medicare billing, Connecticut enrollment
  • 73 clinicians in this Medicare group
NPI 1104803444 (203) 777-7411

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 06513 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

MRS. AGUSTINA FOUGERE MA LPC
Counselor (Professional)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
REBECCA A BUNNELL PA
Physician Assistant
374 GRAND AVE, FAIR HAVEN COMMUNITY HEALTH CENTER
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
DAIJSIA MELENA BUBB APRN
Nurse Practitioner (Family)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
SYDNEY HENCK LCSW
Social Worker (Clinical)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
ANASTASIA CAMPOS LMSW
Social Worker (Clinical)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
JOEL DANIEL NEWMAN BLUMAN MD
Family Medicine
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
MARK AUSTIN MS, NCC, LPC
Counselor (Professional)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
RACHEL ROMERO APRN
Nurse Practitioner (Family)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411

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 Kellie Hale's NPI number?

The NPI number for Kellie Hale is 1780241596. It was assigned to this individual provider in the NPPES registry on May 28, 2019. The provider is also known as Kellie Ann Burns.

Where is Kellie Hale located?

Kellie Hale practices at 374 Grand Ave, New Haven, CT 06513. The listed phone number is (203) 777-7411.

What is Kellie Hale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kellie Hale enrolled in Medicare?

Yes. Kellie Hale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kellie Hale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Hale reassigns Medicare benefits to Fair Haven Community Health Clinic Inc (New Haven, CT). 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 Kellie Hale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellie Hale accept?

Health plans from Anthem Blue Cross and Blue Shield list Kellie Hale 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.

When was this NPI record last updated?

The NPPES record for Kellie Hale was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.