Individual provider Active NPI

Ryan Hall

  • Family Nurse Practitioner
  • San Marcos, TX
National Provider Identifier
1295293108
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140138 Issued in TX
Practice address
1340 Wonder World Dr Ste 2203
San Marcos, TX 78666-7791
Phone
(512) 667-7123
NPI assigned
Mar 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140138 TX Primary

Addresses

Primary practice location

1340 Wonder World Dr Ste 2203
San Marcos, TX 78666-7791

Mailing address

1340 Wonder World Dr Ste 2203
San Marcos, TX 78666-7791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190405001703 TX Practitioner - Nurse Practitioner 2163763855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis Clinic of Central TexasGroup PAC ID 1759527807, 3 clinicians

Practice addresses (Care Compare)

1340 Wonder World Dr
BLDG 2 Suite 2203
San Marcos, TX 78666-7791
Phone (512) 667-7123

Hospital & facility affiliations

  • Memorial Hospital Hospital, Gonzales, TX, CCN 450235
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Clinic of Central Texas Rheumatology CurrentSince Mar 25, 2019 Accepting new patients

Locations

1340 Wonder World Dr
Ste 2203
San Marcos, TX 78666
Phone (512) 667-7123

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDJDD

Organizations & group practices 1

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 6

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": "1552176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1295293108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR STE 2203",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR STE 2203",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667791",
            "telephone_number": "512-667-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-10",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.