Stacey Jackson Hall, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

9309665 Issued in FL

Practice address

2222 S Park St Ste 210
Madison, WI 53713-2168

Phone

(608) 251-6546

NPI assigned

Jun 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1346688025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S PARK ST STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S PARK ST STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132168",
            "telephone_number": "608-251-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "STACEY",
        "middle_name": "JACKSON",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "9309665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014712900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie A Hall, NP
• Natalie R Hall, RN
• Neal Hall, MD
• Paulina A Hall, PA-C
• Rebecca Weld Hall, DNP, AGPCNP-BC
• Tracy Hall, CCTC
• Bethel Hallanger
• Danielle K Hallett, M.D.
• Nicholas A Hallett, M.D.
• Luke Alan Hallgarth, MD

• Women's Health Nurse Practitioner in Madison, WI
• Providers in Madison, WI by specialty
• Women's Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.