Individual provider Active NPI

Jered Allen Hall, FNP-C

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1295572329
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4024227 Issued in KY
Practice address
2716 Old Rosebud Rd Ste 351
Lexington, KY 40509-8003
Phone
(859) 543-1577
Fax
(859) 543-1637
NPI assigned
Jul 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 4024227 KY Primary

Addresses

Primary practice location

2716 Old Rosebud Rd Ste 351
Lexington, KY 40509-8003

Mailing address

2716 Old Rosebud Rd Ste 351
Lexington, KY 40509-8003
Phone (859) 543-1577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240910001775 KY Practitioner - Nurse Practitioner 5991245565 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group Inc 2,431 clinicians

Practice addresses (Care Compare)

2040 Harrodsburg Rd
Suite 200
Lexington, KY 40503-1703
Phone (859) 899-7993

2716 Old Rosebud Rd
Suite 350
Lexington, KY 40509-8003
Phone (859) 543-1577

Hospital & facility affiliations

  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Baptist Health Richmond Hospital, Richmond, KY, CCN 180049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4024227KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC Family CurrentSince Jul 19, 2024 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Jul 19, 2024 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Jul 19, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 30, 2025 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Aug 26, 2024 Accepting new patients
Brock Medical, LLC CurrentSince Jul 19, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations

1095 Morton Ave
Bardstown, KY 40004
Phone (502) 601-0107

96 Future Dr
Corbin, KY 40701

627 Comanche Trl
Frankfort, KY 40601
Phone (502) 320-3697

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

2716 Old Rosebud Rd
Ste 351
Lexington, KY 40509
Phone (859) 240-2109

2716 Old Rosebud Rd
Ste 350
Lexington, KY 40509
Phone (859) 543-1577

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

2040 Harrodsburg Rd
Ste 200
Lexington, KY 40503
Phone (859) 899-7993

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

200 Letton Dr
Paris, KY 40361
Phone (859) 372-2245

Organizations & group practices 10

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 2

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1295572329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 OLD ROSEBUD RD STE 351",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098003",
            "telephone_number": "859-543-1577",
            "fax_number": "859-543-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 OLD ROSEBUD RD STE 351",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098003",
            "telephone_number": "859-543-1577",
            "fax_number": "859-543-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JERED",
        "middle_name": "ALLEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4024227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.