Robert Michael Hall, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP2515702 Issued in FL

Practice address

4296 5TH Ave
Marianna, FL 32446-2173

Phone

(850) 482-2061

Fax

(850) 633-5911

NPI assigned

Jun 4, 2008

Last updated

Sep 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roberthall@jh.allscriptsdirect.net

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.

• ER Physician Group at Jackson Hospital

  • General Practice Physician
  • Marianna, FL
  • NPI 1407801194
  Medicare reassignment NPD
• Kent R Corral MD PL

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1295825271
  Medicare reassignment NPD
• Sunset Point Medical Associates Inc

  dba Bay Pines Medical Associates

  • Internal Medicine Physician
  • Palm Harbor, FL
  • NPI 1366641698
  Medicare reassignment
• The Healthcaring Clinic of Florida, LLC

  • Family Nurse Practitioner
  • Orange City, FL
  • NPI 1003914441
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1265691331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 TAMPA RD",
            "address_2": "STE 202",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843609",
            "telephone_number": "727-785-4540",
            "fax_number": "727-773-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4296 5TH AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462173",
            "telephone_number": "850-482-2061",
            "fax_number": "850-633-5911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3820 Tampa Rd",
            "address_2": "STE 202",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346843609",
            "country_code": "US",
            "telephone_number": "727-785-4540",
            "fax_number": "727-773-9716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2515702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001258800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y00ZF",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Scroggins Gulledge, LCSW
• David W Gullett, CRNA
• Mary Gurganus, ND
• Habilitative Services of North Florida
• Leslie A. Hall, IMH
• Timothy Hall
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Maxwell Harrell
• Jeanetta Dolores Harris
• Julie Ann Harris, DNP

• Family Nurse Practitioner in Marianna, FL
• Providers in Marianna, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.