Amber Rene Hall, NP
Individual provider Active NPI Family Nurse Practitioner · Ladysmith, WI
NPI 1174308019 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1174308019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 13996-33 (WI)
- Practice address
- 1200 Port Arthur Rd
Ladysmith, WI 54848-1137 - Phone
- (715) 532-2358
- NPI assigned
- Aug 29, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCHS Hospitals Inc
Practice addresses (Care Compare)
1200 Port Arthur Rd
Ladysmith, WI 54848-1137
Phone (715) 532-5561
Hospital & facility affiliations
- Lakeland Home Healthcare
- Marshfield Medical Center - Ladysmith
- Marshfield Medical Center - Rice Lake
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231101001913 | WI | Practitioner - Nurse Practitioner | 2062868748 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13996-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Memorial Hospital Inc | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Marshfield Clinic Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Flambeau Hospital Inc | Current |
Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| Flambeau Hospital Inc | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Memorial Hospital Inc | Past | Accepting new patients |
Locations
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
1711 York St
Bloomer, WI 54724
Phone (715) 568-6200
600 Woodside Dr
Cornell, WI 54732
Phone (715) 239-6344
900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1200 Port Arthur Rd
Ladysmith, WI 54848
Phone (715) 532-2300
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Interoperability endpoints
- ahall317668@ewd.direct.hshs.org
- him@marshfieldclinichealthsystem.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13996-33 | WI | Yes |
Addresses
Primary practice location
1200 Port Arthur Rd
Ladysmith, WI 54848-1137
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other practice location 1
1051 West Ave
Rice Lake, WI 54868-4425
Phone (715) 719-0662
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100255130 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahall317668@ewd.direct.hshs.org | Direct | |
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Other providers in Ladysmith, WI
- Shay Kohana Freeman
- Butch Terence D Geroy
- Kryselle C Geroy
- Allison Michelle Golat-Hattamer
- Karrie Louise Groothousen
- Ernest L Hall
- Jon E Hamel
- Allen S. Hanson
- Patricia A Hautamaki
- Sheila Patricia Heiser
All providers in Ladysmith, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.