Individual provider Active NPI

Samaria Hall, NP

  • Family Nurse Practitioner
  • Madison Heights, MI
National Provider Identifier
1477207942
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021208410 Issued in MI
Practice address
27483 Dequindre Rd Ste 306
Madison Heights, MI 48071-5715
Phone
(248) 259-0461
Fax
(248) 522-6077
NPI assigned
Feb 3, 2022
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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 2021208410 MI Primary

Addresses

Primary practice location

27483 Dequindre Rd Ste 306
Madison Heights, MI 48071-5715

Mailing address

21319 Reimanville Ave
Ferndale, MI 48220-2231
Phone (248) 346-1073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20231005003315 MI Practitioner - Nurse Practitioner 0941655245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Royal Oak Medical GroupGroup PAC ID 4082740097, 2 clinicians

Practice addresses (Care Compare)

5130 Coolidge Hwy
Royal Oak, MI 48073-1001
Phone (248) 288-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021208410MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Sep 3, 2023 Accepting new patients
Vpa PC CurrentSince Sep 3, 2023 Accepting new patients
Vpa PC Current Accepting new patients
Whole Hearted Health and Wellness LLC PastSince Feb 6, 2022 Accepting new patients

Locations

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

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, 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": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1477207942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21319 REIMANVILLE AVE",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202231",
            "telephone_number": "248-346-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27483 DEQUINDRE RD STE 306",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480715715",
            "telephone_number": "248-259-0461",
            "fax_number": "248-522-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SAMARIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "2021208410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.