Dwayne Alansier Hall, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0111887 Issued in CT

Practice address

130 Division St
Derby, CT 06418-1326

Phone

(203) 735-7421

NPI assigned

Nov 3, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hall Healthcare LLCGroup PAC ID 0840768545, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dwayne.hall.1@30409.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hall Healthcare LLC

  • Nurse Practitioner
  • Bridgeport, CT
  • NPI 1104700913
  Medicare reassignment Care Compare group NPD
• Emergency Physicians of Connecticut PC

  • Emergency Medicine Physician
  • Waterbury, CT
  • NPI 1902278906

  Multi-Specialty

  Medicare reassignment NPD
• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855

  Multi-Specialty

  Medicare reassignment NPD
• Medical Care at Home PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1811138415

  Multi-Specialty

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  CT, Multi-Specialty

  Medicare reassignment NPD
• Park City Home Care

  • Home Health Agency
  • Bridgeport, CT
  • NPI 1033988316
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1013624535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 LEWIS ST APT 2",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066051241",
            "telephone_number": "203-997-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181326",
            "telephone_number": "203-735-7421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 E Main St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064573863",
            "country_code": "US",
            "telephone_number": "833-354-1492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "DWAYNE",
        "middle_name": "ALANSIER",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-03",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "011187",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "0111887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feng Hua Guo, MD
• Elena N Gutman, M.D.
• Patricia Haag, OT
• Maryann E Hagberg, RD,CDN
• Dawn Marie Hall, LPC-A
• Edward Halstead, M.D.
• Sana Hanif, M.D
• James E. Haswell, M.D.
• Sarah Hatahet
• Alexander Scot Hayden, PA-C

• Nurse Practitioner in Derby, CT
• Providers in Derby, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.