Individual provider Active NPI

Pamela Lynette Hall, MSN,APRN,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ruston, LA
National Provider Identifier
1114702636
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
232162 Issued in LA
Practice address
1495 Frazier Rd
Ruston, LA 71270-1632
Phone
(318) 202-3860
NPI assigned
Aug 31, 2023
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 232162 LA Primary

Addresses

Primary practice location

1495 Frazier Rd
Ruston, LA 71270-1632

Mailing address

6866 Morrison Drive
Shreveport, LA 71119
Phone (318) 426-0172

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025002816 LA Practitioner - Psychiatry 6901252089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solutions Medical Consulting, LLCGroup PAC ID 6002944048, 6 clinicians

Practice addresses (Care Compare)

1495 Frazier Rd
Ruston, LA 71270-1632
Phone (318) 202-3860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
232162LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Medical Consulting, LLC CurrentSince Sep 26, 2023 Accepting new patients
Solutions Medical Consulting, LLC PastSince Sep 5, 2023 Accepting new patients

Locations

2100 Oliver Rd
Monroe, LA 71201
Phone (318) 322-0301

2404 Duval Dr
Monroe, LA 71201
Phone (318) 322-0640

1495 Frazier Rd
Ruston, LA 71270
Phone (318) 202-3860

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1114702636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6866 MORRISON DRIVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71119",
            "telephone_number": "318-426-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 FRAZIER RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712701632",
            "telephone_number": "318-202-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "PAMELA",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "MSN,APRN,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "232162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.