KELSIE DIAL AGPCNP-BC
NPI 1881165835
Nurse Practitioner - Adult Health in Jackson, MI

Q: 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.

Q: What is Kelsie Dial's specialty?

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

Q: 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 18 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.

Active since December 16, 2018PECOS EnrolledAccepts Medicare Assignment

1201 E MICHIGAN AVE STE 300, JACKSON, MI 49201(517) 205-1431 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2025, Mar 2, 2021, Feb 23, 2021 and 1 more (4 updates tracked since 2018).

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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

NPI1881165835

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKELSIE DIALCredential: AGPCNP-BC

Location Address1201 E MICHIGAN AVE STE 300Jackson, MI 49201-1853

Mailing Address2301 Hoppe RdChelsea, MI 48118-9314 · (269) 339-7924

Phone(517) 205-1431

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 16, 2018

Last NPPES UpdateFebruary 3, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2025

✔ NPI 1881165835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MI · 2018015741

1201 E MICHIGAN AVE STE 300, Jackson, MI 49201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

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.

PECOS PAC ID7810221033

PECOS Enrollment IDI20190621001946

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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

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, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230092

Location205 N East AveJackson, MI 49201 · Jackson County

Emergency services Birthing friendly

Physician 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.

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 16

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

CALEB BAKER PA

Physician Assistant