Individual provider Active NPI

Vickey M Hall, FNP

  • Family Nurse Practitioner
  • Iuka, MS
National Provider Identifier
1063746345
Registry record updated Sep 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R824545 Issued in MS
Practice address
1771 Curtis Dr
Iuka, MS 38852-1001
Phone
(662) 423-6016
NPI assigned
Sep 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R824545 MS Primary

Addresses

Primary practice location

1771 Curtis Dr
Iuka, MS 38852-1001

Mailing address

1771 Curtis Dr
Iuka, MS 38852-1001
Phone (662) 423-6016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20091222000090 MS Practitioner - Nurse Practitioner 5597805671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Mississippi Medical Clinics IncGroup PAC ID 6103736665, 120 clinicians

Practice addresses (Care Compare)

1771 Curtis Dr
Iuka, MS 38852-1001
Phone (662) 423-6014

Hospital & facility affiliations

  • North Mississippi Medical Ctr HHA Home health agency, Tupelo, MS, CCN 257002
  • Magnolia Regional Health Center HH & Hospice Agency Home health agency, Corinth, MS, CCN 257117
  • Tishomingo Health Services Inc Hospital, Iuka, MS, CCN 250002
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc CurrentSince Sep 28, 2009 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Sep 28, 2009 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Clinics Inc Family Current Accepting new patients

Locations

1771 Curtis Dr
Iuka, MS 38852
Phone (662) 423-6014

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

Interoperability endpoints

  • Direct secure messaging: vickeyhall@nmhs.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1253318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253318400000",
    "number": "1063746345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 CURTIS DR",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521001",
            "telephone_number": "662-423-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 CURTIS DR",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521001",
            "telephone_number": "662-423-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "VICKEY",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-19",
        "last_updated": "2009-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R824545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iuka, MS

Sources for this page

Verify at the official NPI Registry.