Kassie Elizabeth Hall, PA-C
Individual provider Active NPI Physician Assistant · Clifton Forge, VA
NPI 1023605474 · NPPES record last updated Dec 7, 2023
Key facts
- NPI
- 1023605474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 609 Church St
Clifton Forge, VA 24422-1740 - Phone
- (540) 862-8860
- NPI assigned
- Dec 30, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lewis Gale Physicians LLC
H2 Rehabilitation Services of Virginia, LLC
Practice addresses (Care Compare)
120 W Main St
Covington, VA 24426-1449
Phone (540) 862-0007
1802 Braeburn Dr
Salem, VA 24153-7357
320 W Main St
Covington, VA 24426-1517
Phone (540) 962-6226
Hospital & facility affiliations
- Amedisys Home Health Care
- Lewisgale Hospital Alleghany
- Lewisgale Medical Center
- Bath Community Hospital
- Carilion Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.67 of 100
- Quality
- 66.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220315000415 | VA | Practitioner - Physician Assistant | 3375938103 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110007532 | VA | MD | Medical Physician Assistant |
Interoperability endpoints
- khall146338@direct.carilionclinic.org
- kassie.hall@hca6.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110007532 | VA | |
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
609 Church St
Clifton Forge, VA 24422-1740
Mailing address
212 Rosedale Ave
Covington, VA 24426-1246
Phone (540) 960-0944
Other practice location 1
120 W Main St
Covington, VA 24426-1449
Phone (540) 862-0007
Other providers in Clifton Forge, VA
- Farrar'S Inc
- Farrar'S Inc
- Ashley Danielle Freeman
- GL Virginia Alleghany, LLC
- Ronald Steven Goings
- Crystal Deweese Hatchett
- Highland House
- Jennifer Lynn Hughes
- Sally Rose Johnson
- Patricia Jones
All providers in Clifton Forge, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.