Jacki Hall, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

122664 Issued in WV

Practice address

1 Amalia Dr
Buckhannon, WV 26201-2200

Phone

(304) 473-2000

NPI assigned

May 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Joseph'S Hospital of Buckhannon IncGroup PAC ID 6709828163, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph'S Hospital of Buckhannon, Inc Hospital, Buckhannon, WV, CCN 511321
• United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St Josephs Hospital of Buckhannon Inc

  • Critical Access Hospital
  • Buckhannon, WV
  • NPI 1124005061
  Medicare reassignment Care Compare group NPD
• United Hospital Center, Inc.

  • Internal Medicine Physician
  • Bridgeport, WV
  • NPI 1760965586
  Medicare reassignment NPD
• St Josephs Hospital of Buckhannon

  • Internal Medicine Physician
  • Buckhannon, WV
  • NPI 1841314473
  NPD (past)
• United Hospital Center

  • Rheumatology Physician
  • Bridgeport, WV
  • NPI 1780767772
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Josephs Hospital of Buckhannon Inc

  • Critical Access Hospital
  • Buckhannon, WV
  • NPI 1124005061
  Care Compare affiliation
• United Hospital Center, Inc

  • General Acute Care Hospital
  • Bridgeport, WV
  • NPI 1184606600
  Care Compare affiliation

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

{
    "created_epoch": "1746230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1689463945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EDGEWOOD DR",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264528541",
            "telephone_number": "304-476-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AMALIA DR",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012200",
            "telephone_number": "304-473-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JACKI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-03",
        "last_updated": "2025-05-03",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "122664",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "122664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Griffith
• Stephen Groves, M.D.
• Brittany Nichole Grueser, PRSS
• Mary Elizabeth Hackney, FNP-BC
• Patricia Sue Hagerich
• Jacqueline Hall
• Mary Hall
• Jody Hallmichael
• Bobbi Jo Halterman
• Tammie Jo Hammon, MS, ATC,CSCS

• Family Nurse Practitioner in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.