Individual provider Active NPI

Stacy L Williams-Hall, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Venice, FL
National Provider Identifier
1821423013
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11048080 Issued in FL
Practice address
8026 S Tamiami TRL Ste 103
Venice, FL 34293-5113
Phone
(941) 441-9232
Fax
(941) 441-9234
NPI assigned
Sep 6, 2013
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00461800 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00461800 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11048080 FL Primary

Addresses

Primary practice location

8026 S Tamiami TRL Ste 103
Venice, FL 34293-5113

Mailing address

8026 S Tamiami TRL Ste 103
Venice, FL 34293-5113
Phone (941) 441-9232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20131218000888 NJ Practitioner - Nurse Practitioner 1850528894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1474 Tanyard Rd
Sewell, NJ 08080-4222

3242 Route 206
Bordentown, NJ 08505-4517

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hall Holistic Health,LLC Psychiatric/Mental Health Current Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 1, 2024 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 1, 2024 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1474 Tanyard Rd
Ste A100A
Sewell, NJ 08080
Phone (856) 566-7010

3360 College Dr Ste a
Vineland, NJ 08360

3360 College Dr Ste a
Ste a
Vineland, NJ 08360
Phone (856) 566-7010

Interoperability endpoints

  • Direct secure messaging: stacy.williamshallapn.p1@direct.cfg.nextgenshare.com
  • Direct secure messaging: swilliamshall282475@directvirtua.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1821423013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8026 S TAMIAMI TRL STE 103",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935113",
            "telephone_number": "941-441-9232",
            "fax_number": "941-441-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8026 S TAMIAMI TRL STE 103",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935113",
            "telephone_number": "941-441-9232",
            "fax_number": "941-441-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-HALL",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00461800",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00461800",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11048080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.