Individual provider Active NPI

Lisa M Hall, FNP-BC

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1346794260
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901642 Issued in MS
Practice address
6027 Walnut Grove Rd Ste 112
Memphis, TN 38120-2115
Phone
(901) 271-1000
Fax
(901) 226-4253
NPI assigned
Aug 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 901642 MS Primary

Addresses

Primary practice location

6027 Walnut Grove Rd Ste 112
Memphis, TN 38120-2115

Mailing address

8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AR, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160909000488 MS Practitioner - Nurse Practitioner 9830485325 Reassigns benefits to 4 organizations
I20241031003182 AR Practitioner - Nurse Practitioner 9830485325 Reassigns benefits to 2 organizations
I20241211003169 TN Practitioner - Nurse Practitioner 9830485325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stern Cardiovascular Center, PAGroup PAC ID 2860390275, 126 clinicians
Stern Cardiovascular Foundation, IncGroup PAC ID 8123200540, 111 clinicians

Practice addresses (Care Compare)

201 E Oak Ave
Jonesboro, AR 72401-4163
Phone (901) 271-1000

302 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 271-1000

6025 Walnut Grove Rd
Suite 111
Memphis, TN 38120-2102
Phone (901) 271-1000

6027 Walnut Grove Rd
Suite 112
Memphis, TN 38120-2115
Phone (901) 271-1000

611 Alcorn Dr
Suite 230
Corinth, MS 38834-9323
Phone (901) 271-1000

7362 Southcrest Pkwy
Southaven, MS 38671-4773
Phone (901) 271-1000

8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36897TNMDPharmacist
901642MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cary N Mettetal CurrentSince Feb 5, 2018 Accepting new patients
Redmed, LLC CurrentSince Aug 14, 2016 Accepting new patients
Stern Cardiovascular Center, PA CurrentSince Dec 1, 2025 Accepting new patients
Stern Cardiovascular Foundation, Inc CurrentSince Aug 27, 2024 Accepting new patients
Redmed, LLC CurrentSince Aug 14, 2016 Accepting new patients

Locations

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

201 E Oak Ave
Jonesboro, AR 72401

302 S Rhodes St
West Memphis, AR 72301
Phone (870) 733-1800

611 Alcorn Dr
Ste 230
Corinth, MS 38834
Phone (662) 287-5218

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

100 Baptist Memorial Cir
Ste 201
Oxford, MS 38655
Phone (662) 574-5293

12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044

401 E Lee St
Sardis, MS 38666
Phone (662) 487-0004

401 E Lee St
#B
Sardis, MS 38666
Phone (662) 487-0004

7362 Southcrest Pkwy
Southaven, MS 38671
Phone 90127110002272

499 Gloster Creek Vlg
Ste A2
Tupelo, MS 38801
Phone (662) 620-6800

8060 Wolf River Blvd
Memphis, TN 38138
Phone (901) 271-2272

Organizations & group practices 5

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": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1346794260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381727",
            "telephone_number": "901-271-1000",
            "fax_number": "901-271-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 WALNUT GROVE RD STE 112",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202115",
            "telephone_number": "901-271-1000",
            "fax_number": "901-226-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.