Individual provider Active NPI

Jennifer May Hall, CRNA

  • Certified Registered Nurse Anesthetist
  • Falls Church, VA
National Provider Identifier
1194151787
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024171228 Issued in VA
Practice address
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone
(703) 776-3138
Fax
(540) 982-2719
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704248809 MI
Certified Registered Nurse Anesthetist 367500000X 0024171228 VA Primary
Certified Registered Nurse Anesthetist 367500000X 4704248809 MI

Addresses

Primary practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Mailing address

3100 Spring Forest Rd
Suite 130
Raleigh, NC 27616-2880
Phone (919) 882-0705

Other identifiers 3

IdentifierTypeStateIssuer
1194151787MedicaidVA
603307500MedicaidMD
079872900MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20131111001271 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002042520 Reassigns benefits to 2 organizations
I20200820003210 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002042520 Reassigns benefits to 1 organization
I20220112001031 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002042520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Medical Group of the Permian Basin, LLPGroup PAC ID 6901999176, 48 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 221-1111

520 E 6TH St
Odessa Reg Med Ctr
Odessa, TX 79761-4527
Phone (432) 582-8700

5609 Deauville
Midland, TX 79706-2870
Phone (432) 699-4224

Hospital & facility affiliations

  • Odessa Regional Medical Center Hospital, Odessa, TX, CCN 450661
  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704248809MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia PC CurrentSince Oct 10, 2013 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Oct 10, 2013 Accepting new patients
Anesthesia Medical Group of the Permian Basin, LLP CurrentSince May 15, 2024 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jun 1, 2024 Accepting new patients
Premier Anesthesia of Virginia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 8, 2021 Accepting new patients
Inova Health Care Services Current Accepting new patients
BHS Physicians Network, Inc CurrentSince Jun 1, 2024 Accepting new patients

Locations

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

5609 Deauville
Midland, TX 79706
Phone (432) 697-3629

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

315 E 5th St
Odessa, TX 79761
Phone (432) 333-3433

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

4 Burnside
#100
Wichita Falls, TX 76310
Phone (940) 400-6400

3289 Woodburn Rd
Ste 100
Annandale, VA 22003
Phone (703) 207-7524

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44055 Riverside Pkwy
Ste 226
Leesburg, VA 20176
Phone (202) 321-8162

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 8

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1194151787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SPRING FOREST RD",
            "address_2": "SUITE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162880",
            "telephone_number": "919-882-0705",
            "fax_number": "919-873-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-3138",
            "fax_number": "540-982-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JENNIFER",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704248809",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024171228",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704248809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194151787",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603307500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079872900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.