Individual provider Active NPI

Jill K Hall, CRNA

  • Certified Registered Nurse Anesthetist
  • Bridgeton, MO
National Provider Identifier
1639389216
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2003017892 Issued in MO
Practice address
12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone
(314) 344-7049
Fax
(314) 344-7073
NPI assigned
May 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2003017892 MO Primary

Addresses

Primary practice location

12303 De Paul Dr
Bridgeton, MO 63044-2512

Mailing address

12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-7049

Other names 1

  • Ms. Jill K Moss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070620000461 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385743145 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-West Anesthesia Partners LLCGroup PAC ID 1557842911, 42 clinicians
Metro-West Anesthesia Group IncGroup PAC ID 2163329921, 204 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

1130 Town and Country Commons Dr
Town and Country, MO 63017-8200
Phone (636) 256-0320

12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000

5139 Mattis Rd
Suite 100
Saint Louis, MO 63128-2250
Phone (469) 863-9978

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
Orthomed Staffing LLC CurrentSince Aug 21, 2023 Accepting new patients
Metro-West Anesthesia Group Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 31, 2011 Accepting new patients
SW Anesthesia LLC CurrentSince Mar 30, 2019 Accepting new patients
Key Anesthesia Partners Nurse Anesthetist, Certified Registered CurrentSince Jan 7, 2022 Accepting new patients
Eye Anesthesia LLC CurrentSince Aug 31, 2019 Accepting new patients
Mercy Hospital Lincoln CurrentSince Apr 23, 2024 Accepting new patients
Northwest Anesthesia LTD Past Accepting new patients
Physicians' Ambulatory Anesthesia Services, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

14825 North Outer 40 Rd
Ste 100
Chesterfield, MO 63017
Phone (636) 898-4695

17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122

17300 North Outer 40 Rd
Chesterfield, MO 63005
Phone (636) 536-5158

305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310

200 NE 54th St
Unit 200
Kansas City, MO 64118

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

2511 N Westwood Blvd
Ste B
Poplar Bluff, MO 63901

1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780

10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400

1050 Old des Peres Rd
Ste 150
Saint Louis, MO 63131
Phone (314) 569-2918

12345 W Bend Dr
Ste 201
Saint Louis, MO 63128
Phone (314) 722-2530

12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785

12990 Manchester Rd
Ste 103
Saint Louis, MO 63131
Phone (314) 406-1408

12990 Manchester Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 686-4200

2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850

4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607

5139 Mattis Rd
Ste 100
Saint Louis, MO 63128
Phone (314) 207-8939

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

760 Office Pkwy
Ste 100
Saint Louis, MO 63141
Phone (314) 200-1462

9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585

1130 Town and Country Commons Dr
Twn and Cntry, MO 63017
Phone (636) 256-0320

Organizations & group practices 10

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 1

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639389216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 DE PAUL DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442512",
            "telephone_number": "314-344-7049",
            "fax_number": "314-344-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 DE PAUL DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442512",
            "telephone_number": "314-344-7049",
            "fax_number": "314-344-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JILL",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2003017892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MOSS",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.