Active NPI
Jacqueline Deane Hall, FNP-BC
- Family Nurse Practitioner
- Columbia, SC
National Provider Identifier
1760119325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2307370
- Practice address
- 4500 8TH Division Rd
Columbia, SC 29207-5700 - Phone
- (646) 300-1542
- NPI assigned
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2307370 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2307370 | MA | Primary |
Addresses
Primary practice location
4500 8TH Division Rd
Columbia, SC 29207-5700
Mailing address
1233 Main St
Holyoke, MA 01040-5381
Phone (164) 630-0154
Other names 1
- Jacqueline Deane
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ma Pacs 2 PC | Current | Accepting new patients | |
| Massachusetts Post Acute Medical Services 1 PC | Current | Accepting new patients | |
| Massachusetts Acute Care Specialists PC | Current | Accepting new patients | |
| Ipc Hospitalists of New England, P.C. | Family | Past | Accepting new patients |
Locations
85 Patton Rd
Devens, MA 01434
Phone (978) 615-5200
1233 Main St
Holyoke, MA 01040
Phone (413) 264-0819
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
37 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Chelsea, MA
- NPI 1265918791
-
- Internal Medicine Physician
- Melrose, MA
- NPI 1306134812
-
- Hospitalist Physician
- Annapolis, MD
- NPI 1699204503
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1659555266
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1760119325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 MAIN ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010405381",
"telephone_number": "164-630-0154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 8TH DIVISION RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292075700",
"telephone_number": "646-300-1542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JACQUELINE",
"middle_name": "DEANE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2307370",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2307370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "DEANE",
"credential": "FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.