OrganizationActive
Serenitypass Holistic Health PLLC
NPI 1639935281 · Family Nurse Practitioner · Sandoval, IL
Provider details
- NPI number
- 1639935281
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kelly Hall, Owner(937) 577-4266
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
605 N Mine St
Sandoval, IL 62882-1103
Phone: (618) 552-3034
Street-level locationGet directions
Mailing address
605 N Mine St
Sandoval, IL 62882-1103
Additional practice locations (1)
- 1631 Robinett RdOdin, IL 62870-2109Phone: (618) 552-3034
Registry dates
- Enumerated
- 2024-02-22
- Last updated
- 2024-12-16
- Certified
- 2024-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.