KELSIE DIAL AGPCNP-BC
NPI 1881165835
Nurse Practitioner - Adult Health in Jackson, MI
About Kelsie Dial Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSIE DIAL AGPCNP-BC (NPI 1881165835) is an individual adult health provider in Jackson, Michigan, licensed in Michigan (2018015741) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelsie Dial Agpcnp-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.
Medicare Billing Reassignment
Medicare enrollment records show Kelsie Dial reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MI 49201
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: W.A. Foote Memorial Hospital
- 225 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Allegiance Health
Acute Care Hospitals · Jackson, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MI 49201
JACKSON, MI 49201
JACKSON, MI 49201
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 Kelsie Dial's NPI number?
The NPI number for Kelsie Dial is 1881165835. It was assigned to this individual provider in the NPPES registry on December 16, 2018.
Where is Kelsie Dial located?
Kelsie Dial practices at 1201 E Michigan Ave Ste 300, Jackson, MI 49201. The listed phone number is (517) 205-1431.
What is Kelsie Dial's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kelsie Dial enrolled in Medicare?
Yes. Kelsie Dial 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.
Which organization bills Medicare for Kelsie Dial's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsie Dial reassigns Medicare benefits to Wa Foote Memorial Hospital Inc. (Jackson, 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 Kelsie Dial's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsie Dial accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kelsie Dial 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 Kelsie Dial affiliated with any hospitals?
According to CMS data, Kelsie Dial is affiliated with Henry Ford Allegiance Health.
When was this NPI record last updated?
The NPPES record for Kelsie Dial was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Kelsie Dial, AGPCNP-BC · NPI 1881165835
Adult Health physician in Jackson, Michigan. Individual provider, active in the CMS NPPES registry since December 16, 2018.
## Identity
- **NPI:** 1881165835 (Entity type: Individual)
- **Enumerated:** December 16, 2018
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 2018015741 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 E MICHIGAN AVE STE 300, Jackson, MI 49201-1853
- **Phone:** (517) 205-1431
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wa Foote Memorial Hospital Inc. (NPI 1083971477, Jackson, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881165835) · Data from the CMS NPPES public registry.