Individual provider Active NPI

Amy Mia Hall, PMHNP, CNM

  • Psychiatric/Mental Health Nurse Practitioner
  • Kilmarnock, VA
National Provider Identifier
1275944894
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024174604 Issued in VA
Practice address
25 Office Park Dr Ste 2
Kilmarnock, VA 22482-2805
Phone
(804) 436-7201
Fax
(804) 676-7030
NPI assigned
May 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 0024174604 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024174604 VA Primary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 0001270799 VA

Addresses

Primary practice location

25 Office Park Dr Ste 2
Kilmarnock, VA 22482-2805

Mailing address

PO Box 28
Heathsville, VA 22473-0028
Phone (804) 436-7201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20140904001826 NY Practitioner - Certified Nurse Midwife (CNM) 6103044177 Reassigns benefits to 1 organization
I20180221000718 VA Practitioner - Certified Nurse Midwife (CNM) 6103044177 Reassigns benefits to 2 organizations
I20230317002258 VA Practitioner - Nurse Practitioner 6103044177 Reassigns benefits to 1 organization

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
Bon Secours Medical Group Richmond Specialty Care LLCGroup PAC ID 8022440056, 350 clinicians

Practice addresses (Care Compare)

101 Harris Rd
Kilmarnock, VA 22482-3880

1510 N 28TH St
Richmond, VA 23223-5311

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Mar 6, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Mar 6, 2023 Accepting new patients
Amy Mia Hall PLLC Psychiatric/Mental Health Current Accepting new patients
Virginia Womens Center Inc CurrentSince Feb 9, 2018 Accepting new patients
Sun River Health Inc Current Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 18, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 18, 2018 Accepting new patients
Sun River Health Inc. CurrentSince May 27, 2014 Accepting new patients
Greater Washington Maternal Fetal Medicine and Genetics Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

25 Office Park Dr
Ste 2
Kilmarnock, VA 22482
Phone (804) 356-3008

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

8644 Sudley Rd
#220
Manassas, VA 20110

7130 Glen Forest Dr
Ste 101
Richmond, VA 23226

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

5875 Bremo Rd
Ste 400
Richmond, VA 23226
Phone (804) 287-3550

658 Hospital Rd
Ste 304
Tappahannock, VA 22560

658 Hospital Rd
#304
Tappahannock, VA 22560

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ahall1455119@direct.bsmhealth.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1275944894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "HEATHSVILLE",
            "state": "VA",
            "postal_code": "224730028",
            "telephone_number": "804-436-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OFFICE PARK DR STE 2",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224822805",
            "telephone_number": "804-436-7201",
            "fax_number": "804-676-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "AMY",
        "middle_name": "MIA",
        "credential": "PMHNP, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "VA",
            "license": "0024174604",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024174604",
            "primary": true
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "VA",
            "license": "0001270799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

Verify at the official NPI Registry.