Kelly Ruth Hall, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Sandoval, Illinois. Her current practice location is
605 N Mine St, Sandoval, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 322-6680.
Kelly Ruth Hall is licensed to practice in Illinois (license number 209019672) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912553892.
Provider's Profile
Full Name | Kelly Ruth Hall |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 605 N Mine St, Sandoval, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kelly Ruth Hall attended and graduated from in
NPI Data:
- NPI Number: 1912553892
- Provider Enumeration Date: 08/15/2019
- Last Update Date: 02/02/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kelly Ruth Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912553892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209019672 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Ruth Hall is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Ruth Hall, NP-C 605 N Mine St, Sandoval, IL 62882-1103 Ph: (618) 322-6680 | Kelly Ruth Hall, NP-C 605 N Mine St, Sandoval, IL 62882-1103 Ph: (618) 322-6680 |
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