Individual provider Active NPI

Joseph Patrick Hall, CRNA

  • Certified Registered Nurse Anesthetist
  • Cookeville, TN
National Provider Identifier
1184993248
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
128497 Issued in TN
Practice address
100 W 4TH St Ste 310
Cookeville, TN 38501-2474
Phone
(931) 528-7877
Fax
(931) 526-3261
NPI assigned
Dec 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 128497 TN Primary

Addresses

Primary practice location

100 W 4TH St Ste 310
Cookeville, TN 38501-2474

Mailing address

1026 Sugarland Dr
Cookeville, TN 38501-0959
Phone (931) 722-8367

Other identifiers 1

IdentifierTypeStateIssuer
1526910MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000658 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052578069 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelinc Anesthesia VIII PLLCGroup PAC ID 3173984762, 155 clinicians
Webb Anesthesia Services PLLCGroup PAC ID 1052606589, 3 clinicians

Practice addresses (Care Compare)

110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 859-1138

158 Hospital Dr
Carthage, TN 37030-1083
Phone (615) 735-1560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
128497TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Anesthesia Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2024 Accepting new patients
Lifelinc Anesthesia VIII PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Webb Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2024 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 13, 2025 Accepting new patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients

Locations

158 Hospital Dr
Carthage, TN 37030
Phone (615) 735-1560

467 N Whitney Ave
Cookeville, TN 38501
Phone (931) 528-5007

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

315 Oak St
Livingston, TN 38570
Phone (931) 403-1197

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

28 White Bridge Pike
Ste 210
Nashville, TN 37205
Phone (615) 352-3000

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

520 W Main St
Smithville, TN 37166
Phone (615) 215-5000

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1184993248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 SUGARLAND DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010959",
            "telephone_number": "931-722-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 4TH ST STE 310",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012474",
            "telephone_number": "931-528-7877",
            "fax_number": "931-526-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-20",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "128497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526910",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.