Kelly Ruth Hall, NP-C - Medicare Nurse Practitioner in Sandoval, IL

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Kelly Ruth Hall, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Sandoval, Illinois. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Illinois Healthcare Foundation, Inc., Washington County Hospital District, Serenitypass Holistic Health Pllc and 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.

Contact Information

Kelly Ruth Hall, NP-C
605 N Mine St,
Sandoval, IL 62882-1103
(618) 322-6680
Not Available

Map and Direction




Provider's Profile

Full NameKelly Ruth Hall
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location605 N Mine St, Sandoval, Illinois
Accepts Medicare AssignmentsYes. 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 graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1912553892
  • Provider Enumeration Date: 08/15/2019
  • Last Update Date: 02/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9234220989
  • Enrollment ID: I20191224000248

Medical Identifiers

Medical identifiers for Kelly Ruth Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912553892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209019672 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Washington County HospitalNashville, ILHospital
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Illinois Healthcare Foundation, Inc.1456256874115
Washington County Hospital District488059984413
Serenitypass Holistic Health Pllc76183181302

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Ruth Hall allows following entities to bill medicare on her behalf.
Entity NameSouthern Illinois Healthcare Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609813500
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641
Entity NameWashington County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659321560
PECOS PAC ID: 4880599844
Enrollment ID: O20031209000278
Entity NamePhysician Services Corporation Of Southern Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583
Entity NameMidwest Emergency Good Samaritan, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629367578
PECOS PAC ID: 1658529342
Enrollment ID: O20120921000645
Entity NameMidwest Emergency Centralia Campus Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396034245
PECOS PAC ID: 2163672650
Enrollment ID: O20121018000074
Entity NameMidwest Emergency Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710647615
PECOS PAC ID: 8022401256
Enrollment ID: O20220210000357
Entity NameMidwest Inpatient Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821758608
PECOS PAC ID: 3072908474
Enrollment ID: O20220322002045
Entity NameSerenitypass Holistic Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639935281
PECOS PAC ID: 7618318130
Enrollment ID: O20240515002838

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 AddressPractice 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

Reviews and Comments


Nurse Practitioner Nurses in Sandoval, IL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.