Individual provider Active NPI

Christopher Benjamin Hall, APRN, MSN, FNP-C

  • Primary Care Nurse Practitioner
  • Citrus Heights, CA
National Provider Identifier
1699357434
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95014605 Issued in CA
Practice address
5959 Greenback LN Ste 500
Citrus Heights, CA 95621-4700
Phone
(916) 737-5555
NPI assigned
Apr 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95014605 CA Primary

Addresses

Primary practice location

5959 Greenback LN Ste 500
Citrus Heights, CA 95621-4700

Mailing address

4500 Truxel Rd Apt 328
Sacramento, CA 95834-3733
Phone (209) 423-0274

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20210514002074 CA Practitioner - Nurse Practitioner 1254740624 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95014605CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health Current Accepting new patients
Wellspace Health CurrentSince May 3, 2021 Accepting new patients
Wellspace Health CurrentSince May 3, 2021 Accepting new patients

Locations

5959 Greenback Ln
Ste 500
Citrus Heights, CA 95621
Phone (916) 725-1177

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1699357434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 TRUXEL RD APT 328",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343733",
            "telephone_number": "209-423-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GREENBACK LN STE 500",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956214700",
            "telephone_number": "916-737-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHRISTOPHER",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "APRN, MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95014605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.