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KELLY RUTH HALL NP-C
NPI 1912553892
Nurse Practitioner - Family in Sandoval, IL

Active since August 15, 2019PECOS EnrolledAccepts Medicare Assignment
605 N MINE ST, SANDOVAL, IL 62882(618) 322-6680 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2026, Aug 15, 2019 (2 updates tracked since 2019).

About Kelly Ruth Hall Np-c NPPES

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

KELLY RUTH HALL NP-C (NPI 1912553892) is an individual family provider in Sandoval, Illinois, licensed in Illinois (209019672) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1912553892
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY RUTH HALLCredential: NP-C
Location Address605 N MINE STSandoval, IL 62882-1103
Mailing Address605 N Mine StSandoval, IL 62882-1103 · (618) 552-3034 · Fax (618) 552-3035
Phone(618) 322-6680
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 15, 2019
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1912553892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209019672
605 N MINE ST, Sandoval, IL 62882
Open in Google Maps ↗

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

Kelly Ruth Hall Np-c 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 ID9234220989
PECOS Enrollment IDI20191224000248
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 Reassignments

6

Medicare enrollment records show Kelly Hall reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Serenitypass Holistic Health PLLC
Same address
Family
605 N MINE ST
Sandoval, IL 62882
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1639935281 (618) 552-3034
Southern Illinois Healthcare Foundation, Inc.
8.5 mi
Federally Qualified Health Center (FQHC)
1275 HAWTHORN RD
Salem, IL 62881
  • Reassigned Medicare billing, Illinois enrollment
  • 164 clinicians in this Medicare group
NPI 1376588848 (618) 548-4545
Physician Services Corporation Of Southern Illinois Inc.
23 mi
Internal Medicine
4218 LINCOLNSHIRE DR
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 296 clinicians in this Medicare group
NPI 1831101807 (618) 899-3600
Washington County Hospital District
24 mi
Critical Access
705 S GRAND ST
Nashville, IL 62263
  • Reassigned Medicare billing, Illinois enrollment
  • 33 clinicians in this Medicare group
NPI 1659321560 (618) 327-2201
Midwest Emergency Anderson Health, Inc
46 mi
Emergency Medicine
400 N CALDWELL ST
Staunton, IL 62088
  • Reassigned Medicare billing, Illinois enrollment
  • 121 clinicians in this Medicare group
NPI 1710647615 (618) 635-2200
Midwest Inpatient Anderson Health, Inc
46 mi
Emergency Medicine
6800 IL 162
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 124 clinicians in this Medicare group
NPI 1821758608 (618) 288-5711

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 5

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
110 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services105 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.
65 services62 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
25 services25 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Washington County Hospital

Critical Access Hospitals · Nashville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141308
Location705 S Grand AveNashville, IL 62263 · Washington County
Emergency services

Salem Township Hospital

Critical Access Hospitals · Salem, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number141345
Location1201 Ricker DriveSalem, IL 62881 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62882 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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

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

SERENITYPASS HOLISTIC HEALTH PLLC
Nurse Practitioner (Family)
605 N MINE ST
SANDOVAL, IL 62882
Marion County (618) 552-3034

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 Kelly Hall's NPI number?

The NPI number for Kelly Hall is 1912553892. It was assigned to this individual provider in the NPPES registry on August 15, 2019.

Where is Kelly Hall located?

Kelly Hall practices at 605 N Mine St, Sandoval, IL 62882. The listed phone number is (618) 322-6680.

What is Kelly Hall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Hall enrolled in Medicare?

Yes. Kelly Hall 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 organizations bill Medicare for Kelly Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hall reassigns Medicare benefits to 6 organizations: Serenitypass Holistic Health PLLC (Sandoval, IL), Southern Illinois Healthcare Foundation, Inc. (Salem, IL), Physician Services Corporation Of Southern Illinois Inc. (Mount Vernon, IL), Washington County Hospital District (Nashville, IL), Midwest Emergency Anderson Health, Inc (Staunton, IL) and 1 more organization, listed in the Medicare section above. Each 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 Kelly Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelly Hall affiliated with any hospitals?

According to CMS data, Kelly Hall is affiliated with Ssm Health St Mary's Hospital -Centralia, Washington County Hospital and Salem Township Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Hall was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.