Christen Caradine Hall, DNP, FNP, RN, CIC
Individual provider Active NPI Family Nurse Practitioner · Blue Bell, PA
NPI 1609597764 · NPPES record last updated Dec 5, 2022
Key facts
- NPI
- 1609597764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP025730 (PA)
- Practice address
- 486 Norristown Rd Ste 133
Blue Bell, PA 19422-2353 - Phone
- (901) 482-7286
- NPI assigned
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Tennessee, HSC, College of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Impact Health PC
Impact Health Advanced Care PC
Practice addresses (Care Compare)
10125 Verree Rd
Suite 202
Philadelphia, PA 19116-3674
Phone (203) 497-3861
1425 Horsham Rd
North Wales, PA 19454-1320
Phone (203) 497-3861
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221228000298 | PA | Practitioner - Nurse Practitioner | 2062882582 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP025730 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Health Advanced Care PC | Current |
Accepting new patients | |
| Impact Health P.C. | Family | Current |
Accepting new patients |
| Angelic Health of PA LLC | Past | Accepting new patients |
Locations
240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867
240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867
1425 Horsham Rd
North Wales, PA 19454
Phone (215) 284-5398
10125 Verree Rd
Ste 202
Philadelphia, PA 19116
Phone (215) 302-2003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP025730 | PA | Yes |
Addresses
Primary practice location
486 Norristown Rd Ste 133
Blue Bell, PA 19422-2353
Mailing address
486 Norristown Rd Ste 133
Blue Bell, PA 19422-2353
Phone (901) 482-7286
Other names
- Dr. Christen Danielle Caradine
Other providers in Blue Bell, PA
- Vidhu B Gupta
- Eugene Gregory Haas
- Wendy Hafner
- Kelly Haines
- Unnati Hajari
- Lisa Hallahan
- Khadijah Hamidullah
- Michele Hamilton
- Derek Alan Hammacher
- Susan M. Hammond
All providers in Blue Bell, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.