Individual provider Active NPI

Michael S Hall, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1326096322
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00992 Issued in KS
Practice address
551 S Holland LN
Wichita, KS 67209-2007
Phone
(316) 239-6068
Fax
(316) 239-6483
NPI assigned
May 4, 2006
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-00992 KS Primary

Addresses

Primary practice location

551 S Holland LN
Wichita, KS 67209-2007

Mailing address

551 S Holland LN
Wichita, KS 67209-2007
Phone (316) 613-0545

Other identifiers 1

IdentifierTypeStateIssuer
30004416660006MedicaidKS

Other names 1

  • Mike S Hall Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050316000843 KS Practitioner - Physician Assistant 3375598972 Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

551 S Holland LN
Wichita, KS 67209-2007
Phone (316) 613-0545

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
78.13
Improvement activities
40
Cost
72.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-00992KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia D Riley LLC Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1326096322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 S HOLLAND LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092007",
            "telephone_number": "316-613-0545",
            "fax_number": "316-239-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 S HOLLAND LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092007",
            "telephone_number": "316-239-6068",
            "fax_number": "316-239-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004416660006",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "HALL",
            "middle_name": "S",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.