Individual provider Active NPI

Timothy Allen Hall, NP

  • Acute Care Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1801374137
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71008180A Issued in IN
Practice address
13861 Olio Rd
Fishers, IN 46037-3487
Phone
(317) 338-7136
NPI assigned
Jul 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 71008180A IN Primary

Addresses

Primary practice location

13861 Olio Rd
Fishers, IN 46037-3487

Mailing address

13861 Olio Rd
Fishers, IN 46037-3487

Other practice location 1

1000 N 16th St
New Castle, IN 47362-4319
Phone (765) 599-3177

Other practice location 2

13500 N Meridian St
Carmel, IN 46032-1456
Phone (317) 582-7000

Other practice location 3

2015 Jackson St
Anderson, IN 46016-4337
Phone (765) 649-2511

Other practice location 4

1907 W Sycamore St
Kokomo, IN 46901-5148
Phone (765) 456-5433

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address henrycommunityhealth@hcmh.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180827001477 IN Practitioner - Nurse Practitioner 4385993260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

13861 Olio Rd
Fishers, IN 46037-3487
Phone (317) 338-7136

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71008180AINMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Mar 31, 2024 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Mar 31, 2024 Accepting new patients
Henry County Memorial Hospital CurrentSince Sep 1, 2018 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Mar 31, 2024 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Mar 31, 2024 Accepting new patients
Henry County Memorial Hospital CurrentSince Sep 1, 2018 Accepting new patients
Henry County Memorial Hospital Current Accepting new patients

Locations

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1801374137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13861 OLIO RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460373487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13861 OLIO RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460373487",
            "telephone_number": "317-338-7136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N 16th St",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473624319",
            "country_code": "US",
            "telephone_number": "765-599-3177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13500 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460321456",
            "country_code": "US",
            "telephone_number": "317-582-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460164337",
            "country_code": "US",
            "telephone_number": "765-649-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 W Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469015148",
            "country_code": "US",
            "telephone_number": "765-456-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71008180A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "henrycommunityhealth@hcmh.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 N 16th St",
            "city": "New Castle",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473624319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.