Michael Lynn Hall, DNPC APRN FNP PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP95017742 Issued in CA

Practice address

4633 Old Ironsides Dr Ste 304
Santa Clara, CA 95054-1846

Phone

(323) 205-7088

Fax

(731) 207-7611

NPI assigned

Jan 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

22.7 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

75.67

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michael.hall.1@24287.direct.athenahealth.com

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.

• Bethesda Health Services, LLC

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1407244171
  NPD (past)

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

{
    "created_epoch": "1515196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1609383082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 N SAMPSON AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243962",
            "telephone_number": "323-205-7088",
            "fax_number": "731-207-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 OLD IRONSIDES DR STE 304",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541846",
            "telephone_number": "323-205-7088",
            "fax_number": "731-207-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MICHAEL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DNPC  APRN FNP PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-06",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23860",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95017742",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "23860",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q044081",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon R. Haddow, MD
• Astrid Sabine Haefner, M.D.
• Jeanette Truong Hager, D.D.S.
• Katelyn Ann Hakinson, MS
• Joel Hall
• Patrick Halliday, MD
• Valerie Kiyomi Hamamoto, O.D.
• Christian Hamm, PHARMD
• Farah Sami Abdulhadi Hammoudeh
• Deandra Han Garcia

• Psychiatric/Mental Health Nurse Practitioner in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.