Whitney J Hall, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2014031392 Issued in MO

Practice address

139 W Highway 32
Licking, MO 65542-9898

Phone

(573) 674-3011

Fax

(573) 674-4765

NPI assigned

Aug 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Miss Whitney J Young Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas County Memorial HospitalGroup PAC ID 9436041696, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Health of the Ozarks Home health agency, Houston, MO, CCN 267185
• Texas County Memorial Hospital Hospital, Houston, MO, CCN 260024
• Phelps County Regional Medical Center Hospital, Rolla, MO, CCN 260017

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Texas County Memorial Hospital

  • Primary Care Clinic/Center
  • Licking, MO
  • NPI 1235178930

  MO

  Medicare reassignment Care Compare group NPD
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  MO

  Medicare reassignment NPD
• Texas County Memorial Hospital

  • Clinic/Center
  • Houston, MO
  • NPI 1497593719
  Care Compare group NPD
• Ies Missouri LLC

  • Emergency Medicine Physician
  • West Plains, MO
  • NPI 1336849249

  MO

  Medicare reassignment
• Pcrmc Medical Group, Inc

  • Clinic/Center
  • Rolla, MO
  • NPI 1124237227

  MO

  Medicare reassignment
• Phelps County Regional Medical Center

  • General Acute Care Hospital
  • Rolla, MO
  • NPI 1891766051

  MO

  Medicare reassignment
• Texas County Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Houston, MO
  • NPI 1306885587
  Care Compare group NPD (past)
• Texas County Memorial Hospital

  • Primary Care Clinic/Center
  • Cabool, MO
  • NPI 1396785135
  Care Compare group NPD (past)
• Texas County Memorial Hospital

  • Rural Health Clinic/Center
  • Licking, MO
  • NPI 1447412770
  Care Compare group NPD (past)
• Texas County Memorial Hospital

  • Rural Health Clinic/Center
  • Houston, MO
  • NPI 1710004486
  Care Compare group NPD (past)
• Texas County Memorial Hospital

  • General Acute Care Hospital
  • Houston, MO
  • NPI 1790740363
  Care Compare group NPD (past)
• Texas County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Houston, MO
  • NPI 1023179298
  Care Compare group

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

• Phelps County Regional Medical Center

  • Rural Health Clinic/Center
  • Salem, MO
  • NPI 1194077701

  Hospital

  Care Compare affiliation
• Phelps County Regional Medical Center

  • Rehabilitation Hospital Unit
  • Rolla, MO
  • NPI 1346287455

  Hospital

  Care Compare affiliation
• Phelps County Regional Medical Center

  • General Acute Care Hospital
  • Rolla, MO
  • NPI 1891766051

  Hospital

  Care Compare affiliation
• Texas County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Houston, MO
  • NPI 1023179298

  Hospital

  Care Compare affiliation
• Texas County Memorial Hospital

  • Home Health Agency
  • Houston, MO
  • NPI 1356324727
  Care Compare affiliation
• Texas County Memorial Hospital

  • General Acute Care Hospital
  • Houston, MO
  • NPI 1790740363

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1124437330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W HIGHWAY 32",
            "city": "LICKING",
            "state": "MO",
            "postal_code": "655429898",
            "telephone_number": "573-674-3011",
            "fax_number": "573-674-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W HIGHWAY 32",
            "city": "LICKING",
            "state": "MO",
            "postal_code": "655429898",
            "telephone_number": "573-674-3011",
            "fax_number": "573-674-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "WHITNEY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2014031392",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2014027661",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D0679044",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220024367",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "YOUNG",
            "middle_name": "J",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Community Residence, Inc.
• Nancy Jane Cook, LPC
• Dogwood Investment Group LLC
• Douglas County Public Health Services Group, Inc.
• Adrienne Jill Goble, PHARMD
• Jihad Y Ibrahim, M.D.
• Marie Elizabeth Lasater, RN, MSN, CCRN, CNRN
• Amanda N Lemp, DO, MPH
• Licking No 1 LLC
• Angela Light

• All providers in Licking, MO
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.