Individual provider Active NPI

Andrew Dennis Rall, C-NP

  • Family Nurse Practitioner
  • Westerville, OH
National Provider Identifier
1477031847
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023081 Issued in OH
Practice address
400 Altair Pkwy Ste 3100
Westerville, OH 43082-7653
Phone
(614) 360-9995
Fax
(844) 571-1777
NPI assigned
Jul 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020441 PA
Family Nurse Practitioner 363LF0000X APRN.CNP.023081 OH Primary

Addresses

Primary practice location

400 Altair Pkwy Ste 3100
Westerville, OH 43082-7653

Mailing address

115 N Center St
Frackville, PA 17931-1203
Phone (419) 496-6942

Other practice location 1

6 S Oak St
Mount Carmel, PA 17851-2156
Phone (570) 339-2636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190918001267 PA Practitioner - Nurse Practitioner 4587994538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians
Img Nursing Home Care, P.C.Group PAC ID 8628491735, 11 clinicians

Practice addresses (Care Compare)

6 S Oak St
Mount Carmel, PA 17851-2156
Phone (570) 339-2636

82 Tunnel Rd
Pottsville, PA 17901-3869
Phone (570) 622-5455

Hospital & facility affiliations

  • Residential Home Health of NC PA, LLC Home health agency, Lewisburg, PA, CCN 398144
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Geisinger St. Luke'S Hospital Hospital, Orwigsburg, PA, CCN 390332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023081OHMDFamily Nurse Practitioner
SP020441PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Group, P.C. CurrentSince Sep 16, 2019 Accepting new patients
Img Nursing Home Care, P.C. CurrentSince Jul 1, 2020 Accepting new patients
Integrated Medical Group P C CurrentSince Sep 16, 2019 Accepting new patients
Femm Foundation Past Accepting new patients
Integrated Medical Group Past Accepting new patients

Locations

103 Broad St
Ste B
Ashland, PA 17921
Phone (570) 477-6721

232 Sunbury St
Minersville, PA 17954
Phone (570) 544-4590

6 S Oak St
Mount Carmel, PA 17851
Phone (570) 339-2636

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

82 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5455

200 Pennsylvania Ave
Shenandoah, PA 17976
Phone (570) 462-1921

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12544/brand/1/csg/1/fhir/r4
  • Direct secure messaging: andrew.rall.1@12544.direct.athenahealth.com

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 9

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1477031847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N CENTER ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179311203",
            "telephone_number": "419-496-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ALTAIR PKWY STE 3100",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827653",
            "telephone_number": "614-360-9995",
            "fax_number": "844-571-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 S Oak St",
            "address_purpose": "LOCATION",
            "city": "Mount Carmel",
            "state": "PA",
            "postal_code": "178512156",
            "country_code": "US",
            "telephone_number": "570-339-2636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RALL",
        "first_name": "ANDREW",
        "middle_name": "DENNIS",
        "credential": "C-NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020441",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.