Individual provider Active NPI

Anna P. Hall, FNP

  • Family Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1295398717
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011646 Issued in CA
Practice address
39765 Date St Ste 102
Murrieta, CA 92563-2005
Phone
(951) 894-4665
Fax
(951) 894-5178
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 95011646 CA Primary

Addresses

Primary practice location

39765 Date St Ste 102
Murrieta, CA 92563-2005

Mailing address

39765 Date St Ste 102
Murrieta, CA 92563-2005
Phone (951) 894-4665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191202002412 CA Practitioner - Nurse Practitioner 0042643272 Reassigns benefits to 1 organization
I20240830002541 AZ Practitioner - Nurse Practitioner 0042643272

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Crossing Corporation CurrentSince Jun 1, 2019 Accepting new patients

Locations

39765 Date St
Ste 102
Murrieta, CA 92563

39765 Date St
Ste 100
Murrieta, CA 92563
Phone (951) 279-0100

28078 Baxter Rd
Ste 314
Murrieta, CA 92563
Phone (951) 677-3000

Interoperability endpoints

  • Direct secure messaging: anna.hall.1@10674.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1295398717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39765 DATE ST STE 102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632005",
            "telephone_number": "951-894-4665",
            "fax_number": "951-894-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39765 DATE ST STE 102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632005",
            "telephone_number": "951-894-4665",
            "fax_number": "951-894-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ANNA",
        "middle_name": "P.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.