Individual provider Active NPI

Ryan Hall, FNP

  • Family Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1164091187
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1043912 Issued in TX
Practice address
2303 Hammerwood Dr
Missouri City, TX 77489-4138
Phone
(713) 454-9108
NPI assigned
Jun 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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 1043912 TX Primary

Addresses

Primary practice location

2303 Hammerwood Dr
Missouri City, TX 77489-4138

Mailing address

2303 Hammerwood Dr
Missouri City, TX 77489-4138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210902002793 TX Practitioner - Nurse Practitioner 8426454281 Reassigns benefits to 1 organization
I20230127001424 NY Practitioner - Nurse Practitioner 8426454281 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians
Prompt Urgent Care,PLLCGroup PAC ID 0840576054, 3 clinicians

Practice addresses (Care Compare)

1797 Pitkin Ave
Suite 2
Brooklyn, NY 11212-7844
Phone (718) 971-1944

331 Knickerbocker Ave
Suite B
Brooklyn, NY 11237-3601
Phone (718) 400-1444

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakbend Medical Group CurrentSince Aug 18, 2021 Accepting new patients
Oakbend Medical Group CurrentSince Aug 18, 2021 Accepting new patients
The Partners Care Family CurrentSince Mar 28, 2025 Accepting new patients
Doral Pharmacy LLC PastSince Feb 1, 2024 Accepting new patients

Locations

4911 Sandhill Dr
Sugar Land, TX 77479
Phone (281) 238-7870

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: ryan.hall.1@27852.direct.athenahealth.com
  • Direct secure messaging: ryan.hall.1@24989.direct.athenahealth.com
  • Direct secure messaging: vrhrhall@yourcarecommunity.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1164091187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 HAMMERWOOD DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774894138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 HAMMERWOOD DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774894138",
            "telephone_number": "713-454-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "RYAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1043912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.