Robert-Matthew Hall, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902176 Issued in MS

Practice address

9075 Sandidge Center CV
Olive Branch, MS 38654-3514

Phone

(662) 895-4949

Fax

(662) 893-1103

NPI assigned

Jul 23, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

U S Health Dept of Health and Human ServicesGroup PAC ID 9638081623, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• P H S Indian Hospital at Browning - Blackfeet Hospital, Browning, MT, CCN 270074
• Northern Rockies Medical Center Hospital, Cut Bank, MT, CCN 271337

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602

  TX

  Medicare reassignment Care Compare group NPD
• U S Health Dept of Health & Human Services

  dba Heart Butte Clinic

  • Clinic/Center
  • Heart Butte, MT
  • NPI 1598867848
  NPD
• U S Health Dept of Health & Human Services

  dba Lodge Grass Clinic

  • Critical Access Hospital
  • Lodge Grass, MT
  • NPI 1750410395
  NPD
• Memphis Lung Physicians, P.C.

  • Pulmonary Disease Physician
  • Memphis, TN
  • NPI 1053340166
  NPD (past)
• U S Health Dept of Health & Human Services

  • General Acute Care Hospital
  • Browning, MT
  • NPI 1861409955
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northern Rockies Medical Center, Inc.

  dba Logan Health - Cut Bank

  • Critical Access Hospital
  • Cut Bank, MT
  • NPI 1831143080
  Care Compare affiliation

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1316460256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 VICTOR DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 SANDIDGE CENTER CV",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543514",
            "telephone_number": "662-895-4949",
            "fax_number": "662-893-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Southcrest Cir Ste 212",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386716721",
            "country_code": "US",
            "telephone_number": "662-349-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "ROBERT-MATTHEW",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-23",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matt.hall.p1@direct.obfmc.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9075 Sandidge Center Cv",
            "city": "Olive Branch",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386543514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Iris Gray, BSOT
• Amy Green
• Stacey Denise Guthrie, LPC-S
• Charlotte Halkiades, NP
• Danielle Hall
• Latrice Hamilton, LPC
• Dabney J Hamner Jr., M.D.
• Letitia Kalita Hampton, RN
• Laxmisilpa Gadiparthi Hansen, M.D.
• Happy Smiles - Olive Branch LLC (Happy Smiles)

• Family Nurse Practitioner in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.