Individual provider Active NPI

Patricia Hall

  • Primary Care Nurse Practitioner
  • Hillsdale, MI
National Provider Identifier
1316333867
Registry record updated Apr 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704230393 Issued in MI
Practice address
3271 W Carleton Rd
Hillsdale, MI 49242-9458
Phone
(517) 437-3879
Fax
(517) 437-4053
NPI assigned
Apr 11, 2015
Last updated
Apr 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704230393 MI Primary

Addresses

Primary practice location

3271 W Carleton Rd
Hillsdale, MI 49242-9458

Mailing address

3271 W Carleton Rd
Hillsdale, MI 49242-9458
Phone (517) 437-3879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 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
I20151007003013 MI Practitioner - Nurse Practitioner 0941518195 Reassigns benefits to 1 organization
I20160520001924 IN Practitioner - Nurse Practitioner 0941518195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cameron Memorial Community Hospital IncGroup PAC ID 9234020835, shared by 8 NPIs, 83 clinicians

Practice addresses (Care Compare)

1381 N Wayne St
Angola, IN 46703-2348
Phone (260) 665-8222

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Cameron Memorial Community Hospital, Inc. CurrentSince Apr 30, 2016 Accepting new patients
Community Health Center of Branch County CurrentSince Oct 6, 2018 Accepting new patients
Community Health Center of Branch County CurrentSince Oct 6, 2018 Accepting new patients
Cameron Memorial Community Hospital, Inc CurrentSince Apr 30, 2016 Accepting new patients
Advanced Veins and Vascular Management PLC Past Accepting new patients

Locations

1381 N Wayne St
Angola, IN 46703
Phone (219) 481-4700

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

197 Division St
Bronson, MI 49028
Phone (517) 369-2506

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

185 E Chicago St
Quincy, MI 49082
Phone (517) 639-3426

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIBIBD
  • Direct secure messaging: phall152530@direct.promedica.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1428710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428710400000",
    "number": "1316333867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429458",
            "telephone_number": "517-437-3879",
            "fax_number": "517-437-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429458",
            "telephone_number": "517-437-3879",
            "fax_number": "517-437-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-11",
        "last_updated": "2015-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704230393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

Verify at the official NPI Registry.