Individual provider Active NPI

Connor Hall

  • Physician Assistant
  • Martinsburg, WV
National Provider Identifier
1194488676
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2639 Issued in WV
Practice address
2000 Foundation Way Ste 3200
Martinsburg, WV 25401-9199
Phone
(304) 262-9400
NPI assigned
Oct 20, 2021
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2639 WV Primary

Addresses

Primary practice location

2000 Foundation Way Ste 3200
Martinsburg, WV 25401-9199

Mailing address

2000 Foundation Way Ste 3200
Martinsburg, WV 25401-9199
Phone (304) 262-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220818002808 WV Practitioner - Physician Assistant 8820471196 Reassigns benefits to 1 organization
I20250605004161 MD Practitioner - Physician Assistant 8820471196 Reassigns benefits to 1 organization
I20260217000040 VA Practitioner - Physician Assistant 8820471196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

13 Western Maryland Pkwy
106 Wvu Medicine Brain and Spine
Hagerstown, MD 21740-6474
Phone (240) 513-4591

13079 Garrett Hwy
Uha Oakland CKD Clinic
Oakland, MD 21550
Phone (304) 598-4800

650 Cedar Creek Grade
Suite 100
Winchester, VA 22601-6453
Phone (540) 535-0000

RT 7 Box
Suite 1495
Oakland, MD 21550
Phone (301) 334-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2639WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wvu Medical Corporation Physician Assistant CurrentSince May 6, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince May 6, 2024 Accepting new patients

Locations

920 N Shenandoah Ave
Ste 202
Front Royal, VA 22630
Phone (540) 535-0000

650 Cedar Creek Grade
Ste 100
Winchester, VA 22601
Phone (540) 535-0000

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1194488676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FOUNDATION WAY STE 3200",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019199",
            "telephone_number": "304-262-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FOUNDATION WAY STE 3200",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019199",
            "telephone_number": "304-262-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CONNOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.