Thomas L Hall Jr., MSN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Attica, MI
NPI 1750160727 · NPPES record last updated Feb 25, 2025
Key facts
- NPI
- 1750160727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704300502 (MI)
- Practice address
- 4464 Williams St
Attica, MI 48412-7700 - Phone
- (810) 656-9996
- NPI assigned
- Sep 27, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLaren Hospital Group
Practice addresses (Care Compare)
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000
Hospital & facility affiliations
- McLaren Lapeer Region
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20240221000643 | MI | Practitioner - Nurse Practitioner | 8527402254 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704300502 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Hospital Group | Current |
Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
5701 Bow Pointe Dr
Clarkston, MI 48346
Phone (248) 620-3376
2420 Owen Rd
Ste A
Fenton, MI 48430
Phone (810) 496-2460
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
2110 S M 76
West Branch, MI 48661
Phone (989) 345-4884
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4704300502 | MI | |
| Family Medicine Physician | 207Q00000X | 4704300502 | MI | |
| Nurse Practitioner | 363L00000X | 4704300502 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704300502 | MI | Yes |
Addresses
Primary practice location
4464 Williams St
Attica, MI 48412-7700
Mailing address
4464 Williams St
Attica, MI 48412-7700
Phone (810) 656-9996
Other practice location 1
1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000
Other providers in Attica, MI
- Jennifer L Barnier
- David Begley
- Lauren Elizabeth Budreau
- Kathryn Joanne Conlin
- Healing & Growth
- Holding Hope
- Susan A Krutz
- Tana Lindow
- Katie Machiela
All providers in Attica, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2025. 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.