Individual provider Active NPI

Jennifer C Hall, MD

  • Emergency Medicine Physician
  • Yreka, CA
National Provider Identifier
1629117668
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
183397 Issued in CA
Practice address
444 Bruce St
Yreka, CA 96097-3450
Phone
(530) 841-6250
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2006-0247 NM
Emergency Medicine Physician 207P00000X MD28957 OR
Emergency Medicine Physician 207P00000X 183397 CA Primary

Addresses

Primary practice location

444 Bruce St
Yreka, CA 96097-3450

Mailing address

444 Bruce St
Yreka, CA 96097-3450
Phone (530) 841-6250

Other practice location 1

900 11th St SE
Bandon, OR 97411-9114
Phone (541) 347-2426

Other identifiers 1

IdentifierTypeStateIssuer
500608322MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 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
I20090817000682 OR Practitioner - Emergency Medicine 0648337964 Reassigns benefits to 5 organizations
I20230301001046 CA Practitioner - Emergency Medicine 0648337964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New Mexico School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siskiyou Hospital IncGroup PAC ID 1254223134, 96 clinicians
Southern Coos Health DistrictGroup PAC ID 1951219310, 25 clinicians

Practice addresses (Care Compare)

444 Bruce St
Yreka, CA 96097-3450
Phone (530) 842-4121

900 11TH St SE
Bandon, OR 97411-9114
Phone (541) 347-2426

Hospital & facility affiliations

  • Fairchild Medical Center Hospital, Yreka, CA, CCN 051316
  • Southern Coos Hospital & Health Center Hospital, Bandon, OR, CCN 381304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183397CAMDEmergency Medicine Physician
2006-0247NMMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siskiyou Hospital, Inc. CurrentSince Jul 10, 2023 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince Jul 29, 2009 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Asante Ashland Community Hospital, LLC CurrentSince Mar 1, 2020 Accepting new patients
Asante CurrentSince Mar 1, 2012 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Jul 10, 2023 Accepting new patients
Asante CurrentSince Mar 1, 2012 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

Organizations & group practices 11

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 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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1629117668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 BRUCE ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973450",
            "telephone_number": "530-841-6250",
            "fax_number": "541-789-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 BRUCE ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973450",
            "telephone_number": "530-841-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 11th St SE",
            "address_purpose": "LOCATION",
            "city": "Bandon",
            "state": "OR",
            "postal_code": "974119114",
            "country_code": "US",
            "telephone_number": "541-347-2426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "2006-0247",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD28957",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "183397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500608322",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yreka, CA

Sources for this page

Verify at the official NPI Registry.