Individual provider Active NPI

Tyler Hall, APRN

  • Acute Care Nurse Practitioner
  • Englewood, OH
National Provider Identifier
1215650783
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.0032342 Issued in OH
Practice address
9000 N Main St
Englewood, OH 45415-1180
Phone
(937) 734-6784
NPI assigned
Sep 20, 2022
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0032342 OH
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0032342 OH Primary

Addresses

Primary practice location

9000 N Main St
Englewood, OH 45415-1180

Mailing address

426 Clinton St
Clayton, OH 45315-8965
Phone (937) 308-2268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230221002508 OH Practitioner - Nurse Practitioner 8729450705 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Your Door Visiting Healthcare Services LLCGroup PAC ID 0042522344, 37 clinicians

Practice addresses (Care Compare)

314 Agler Rd
Columbus, OH 43230-2546
Phone (614) 284-4114

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0032342OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Premier Health Specialists Inc Nurse Practitioner Current Accepting new patients
Mvhe Inc Nurse Practitioner CurrentSince Jul 18, 2023 Accepting new patients
Upper Valley Professional Corporation Nurse Practitioner CurrentSince Jul 18, 2023 Accepting new patients
Rajesh C Patel MD Inc CurrentSince Jan 5, 2023 Accepting new patients
Mvhe Inc CurrentSince Jul 18, 2023 Accepting new patients
Premier Health Specialists Inc CurrentSince Nov 7, 2022 Accepting new patients
Mvhe Inc Current Accepting new patients
Ayd - Value Based Services LLC CurrentSince Dec 1, 2025 Accepting new patients
Rajesh C. Patel, M.D., Inc. CurrentSince Jan 5, 2023 Accepting new patients
At Your Door Visiting Healthcare Services, LLC CurrentSince Sep 19, 2023 Accepting new patients
Premier Health Specialists Inc CurrentSince Nov 7, 2022 Accepting new patients
Health First Medical Center PastSince Mar 20, 2019 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2245 N Bank Dr
Columbus, OH 43220
Phone (614) 451-2151

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

9001 N Main St
Ste A
Dayton, OH 45415
Phone (937) 832-0990

9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394

1302 Millville Ave
Hamilton, OH 45013
Phone (513) 867-4100

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tyler.hall.1@26689.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1215650783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 CLINTON ST",
            "city": "CLAYTON",
            "state": "OH",
            "postal_code": "453158965",
            "telephone_number": "937-308-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "454151180",
            "telephone_number": "937-734-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TYLER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0032342",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0032342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

Verify at the official NPI Registry.