Individual provider Active NPI

Chancen Darwin Hall

  • Pain Medicine (Anesthesiology) Physician
  • Emmett, ID
National Provider Identifier
1396096632
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
7971254 Issued in ID
Practice address
1024 E Locust St
Emmett, ID 83617-2776
Phone
(208) 365-2338
NPI assigned
Sep 26, 2012
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Anesthesiology Physician 207L00000X OS022543 PA
Anesthesiology Physician 207L00000X 94-09638 KS
Pain Medicine (Anesthesiology) Physician 207LP2900X 7971254 ID Primary

Addresses

Primary practice location

1024 E Locust St
Emmett, ID 83617-2776

Mailing address

1202 E Locust St
Emmett, ID 83617-2715
Phone (208) 365-3561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231130000542 OK Practitioner - Pain Management 6507115219 Reassigns benefits to 1 organization
I20250924001915 ID Practitioner - Anesthesiology 6507115219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rocky Vista University College of Osteopathic Med, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1202 E Locust St
Emmett, ID 83617-2715

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
94-09638KSMDAnesthesiology Physician
OS022543PAMDAnesthesiology Physician
7971254IDMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walter Knox Memorial Hospital Current Accepting new patients
Advanced Pain Management Center of Oklahoma, LLC Pain Medicine CurrentSince Jul 1, 2023 Accepting new patients
Advanced Pain Specialists of Tulsa, PLLC Anesthesiology CurrentSince Jun 23, 2024 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Walter Knox Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Walter Knox Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients

Locations

1024 E Locust St
Emmett, ID 83617
Phone (208) 365-1065

1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338

3840 S 103rd East Ave
Ste 100
Tulsa, OK 74146
Phone (918) 899-2751

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#41
Hershey, PA 17033
Phone (717) 531-8202

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/

Organizations & group practices 6

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 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": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1396096632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E LOCUST ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172715",
            "telephone_number": "208-365-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 E LOCUST ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172776",
            "telephone_number": "208-365-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHANCEN",
        "middle_name": "DARWIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-26",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS022543",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "94-09638",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "ID",
            "license": "7971254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmett, ID

Sources for this page

Verify at the official NPI Registry.