Individual provider Active NPI

Susan Elizabeth Hall, RN MSN APRN FNP BC

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1295579936
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4046688 Issued in KY
Practice address
225 Medical Center Dr Ste 205
Paducah, KY 42003-7907
Phone
(270) 441-4462
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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 4046688 KY Primary

Addresses

Primary practice location

225 Medical Center Dr Ste 205
Paducah, KY 42003-7907

Mailing address

225 Medical Center Dr Ste 205
Paducah, KY 42003-7907
Phone (270) 441-4462

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
I20260116003223 KY Practitioner - Nurse Practitioner 3678050911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians

Practice addresses (Care Compare)

225 Medical Ctr Dr
Suite 205
Paducah, KY 42003-7907
Phone (270) 441-4462

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4046688KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC Nurse Practitioner CurrentSince Jan 9, 2026 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Jan 9, 2026 Accepting new patients
Mercy Health Physicians Kentucky LLC Nurse Practitioner Past Accepting new patients

Locations

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

225 Medical Center Dr
Ste 205
Paducah, KY 42003
Phone (270) 441-4462

Organizations & group practices 3

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 3

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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1295579936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 205",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037907",
            "telephone_number": "270-441-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 205",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037907",
            "telephone_number": "270-441-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RN MSN APRN FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4046688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.