Individual provider Active NPI

Debra Lynn Hall, CRNP

  • Family Nurse Practitioner
  • Monaca, PA
National Provider Identifier
1093118481
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP014196 Issued in PA
Practice address
79 Wagner Rd
Monaca, PA 15061-2337
Phone
(724) 773-1997
NPI assigned
Sep 30, 2014
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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 SP014196 PA Primary

Addresses

Primary practice location

79 Wagner Rd
Monaca, PA 15061-2337

Mailing address

79 Wagner Rd
Monaca, PA 15061-2337
Phone (724) 773-1994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150526000780 PA Practitioner - Nurse Practitioner 2668792185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2580 Constitution Blvd
Beaver Falls, PA 15010-1294
Phone (724) 843-4700

2719 Brodhead Rd
Aliquippa, PA 15001-2793
Phone (724) 419-9200

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Jun 1, 2015 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Jun 1, 2015 Accepting new patients
Randy R. Shemer D.O. L.L.C. PastSince Oct 5, 1995 Accepting new patients

Locations

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

79 Wagner Rd
Monaca, PA 15061
Phone (724) 624-9901

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 3

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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1093118481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 WAGNER RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612337",
            "telephone_number": "724-773-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WAGNER RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612337",
            "telephone_number": "724-773-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monaca, PA

Sources for this page

Verify at the official NPI Registry.