Jenella Hall

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-170887 Issued in AL

Practice address

8630 Vaughn Rd
Montgomery, AL 36117-8852

Phone

(334) 676-4076

NPI assigned

Jun 11, 2024

Last updated

Mar 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jenella.hall.1@9186.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Alabama AIDS Outreach Inc

  dba Five Horizons Health Services

  • General Practice Physician
  • Tuscaloosa, AL
  • NPI 1619731361
  Medicare reassignment
• Your Doctor's Office, PC

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1003267899
  NPD

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1043052970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DEFENSE HWY STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017096",
            "telephone_number": "855-527-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 VAUGHN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178852",
            "telephone_number": "334-676-4076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "488 Saint Lukes Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361177104",
            "country_code": "US",
            "telephone_number": "334-288-7808",
            "fax_number": "334-288-8089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 McQueen Smith Rd N Ste E",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360667559",
            "country_code": "US",
            "telephone_number": "334-288-7808",
            "fax_number": "334-288-8089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "JENELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-170887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Theotis Hale, MD
• Tyula Hale, RN
• Amanda Brooke Hall, NP-C
• Daphany Hall, PA
• David Dean Hall, DO
• Ray Anthony Hall Jr., DPT
• Robbie L. Hall, NP
• Shelby Craft Hall, M.S.
• Tachima V Hall, ALC
• Melanie Halvorson, M.D.

• Family Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.