NPIMap

Individual provider Active NPI

Tara D Hall, CRNP

  • Family Nurse Practitioner
  • Scottdale, PA
National Provider Identifier
1023492212
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015106 Issued in PA
Practice address
109 Crossroads Rd
Suite 201
Scottdale, PA 15683-2458
Phone
(724) 887-5989
NPI assigned
Jul 17, 2015
Last updated
Dec 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X SP015106 PA
Family Nurse Practitioner 363LF0000X SP015106 PA Primary

Addresses

Primary practice location

109 Crossroads Rd
Suite 201
Scottdale, PA 15683-2458

Mailing address

360 Gimlet Hill Rd
Mount Pleasant, PA 15666-2256
Phone (724) 244-7641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151211002244 PA Practitioner - Nurse Practitioner 9335440536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

109 Crossroads Rd
Suite 201
Scottdale, PA 15683-2458
Phone (724) 887-5989

201 Mary Higginson LN
Uniontown, PA 15401-2658
Phone (724) 430-5940

205 Mary Higginson LN
Uniontown, PA 15401-2658
Phone (724) 276-0712

218 Memorial Blvd
Connellsville, PA 15425-2654
Phone (724) 912-7523

224 Memorial Blvd
Connellsville, PA 15425-2654
Phone (724) 626-7335

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP015106PAMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette Physician Network Inc CurrentSince May 1, 2021 Accepting new patients
Fayette Physician Network Inc CurrentSince May 1, 2021 Accepting new patients
Fayette Physician Network Inc Family Current Accepting new patients

Locations

224 Memorial Blvd
Connellsville, PA 15425
Phone (724) 437-7677

109 Crossroads Rd
Ste 201
Scottdale, PA 15683
Phone (724) 628-7432

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

Organizations & group practices 3

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

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1023492212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 GIMLET HILL RD",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156662256",
            "telephone_number": "724-244-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CROSSROADS RD",
            "address_2": "SUITE 201",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832458",
            "telephone_number": "724-887-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TARA",
        "middle_name": "D",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "PA",
            "license": "SP015106",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottdale, PA

Sources for this page

Verify at the official NPI Registry.