Clarice Rebecca Hall, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Caldwell, OH
NPI 1801060892 · NPPES record last updated Dec 27, 2024
Key facts
- NPI
- 1801060892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- COA.09998-NP (OH)
- Practice address
- 18125 Woodsfield Rd
Caldwell, OH 43724-9709 - Phone
- (740) 732-7259
- Fax
- (740) 732-7360
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20080625000770 | OH | Practitioner - Nurse Practitioner | 3375614969 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.09998-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Med LLC | Current |
Accepting new patients | |
| Ohiohealth Corporation | Current |
Accepting new patients | |
| Ohiohealth Corporation | Current |
Accepting new patients |
Locations
18125 Woodsfield Rd
Caldwell, OH 43724
Phone (740) 732-1199
1230 Clark St
Apt A
Cambridge, OH 43725
Phone (740) 435-2340
1251 Clark St
Cambridge, OH 43725
Phone (740) 439-0733
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
Interoperability endpoints
- crhall@seormc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.09998-NP | OH | Yes |
Addresses
Primary practice location
18125 Woodsfield Rd
Caldwell, OH 43724-9709
Mailing address
PO Box 7527
Dublin, OH 43017-0727
Other practice location 1
304 Main St
Caldwell, OH 43724-1322
Phone (740) 732-2339
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2844337 | Medicaid | OH | |
| 3810027731 | Medicaid | WV | |
| P01225683 | Other | OH | RAILROAD MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CRHall@seormc.org | Direct | Southeastern Ohio Regional Medical Center Inc |
| Direct Messaging Address | practice@superiormed.medentdirect.com |
Other providers in Caldwell, OH
- G L Davis Drug Inc.
- G. L. Davis Drug Inc
- Debbie A Gheen
- Kera Lyn Gillespie
- GMN Tri-County Cac, Inc.
- Denise Alma Hardesty
- Jeffrey J Harding II
- Rebecca Jane Hayes
- Rebecca Sue Hill
- Scott Hill
All providers in Caldwell, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2024. 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.