Individual provider Active NPI

Larry D Hall Jr.

  • Acute Care Clinical Nurse Specialist
  • Great Falls, MT
National Provider Identifier
1851061956
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
11015472 Issued in FL
Practice address
3010 15TH Ave S
Great Falls, MT 59405-5240
Phone
(406) 216-8000
NPI assigned
Sep 20, 2021
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 240740 MT
Acute Care Clinical Nurse Specialist 364SA2100X 11015472 FL Primary

Addresses

Primary practice location

3010 15TH Ave S
Great Falls, MT 59405-5240

Mailing address

435 Waterbury CT
Cantonment, FL 32533-8411
Phone (850) 529-9135

Other practice location 1

6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 626-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MT, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210930002873 FL Practitioner - Nurse Practitioner 5294967980 Reassigns benefits to 5 organizations
I20240820003008 MT Practitioner - Nurse Practitioner 5294967980 Reassigns benefits to 2 organizations
I20260407003896 NM Practitioner - Nurse Practitioner 5294967980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Falls Clinic LLCGroup PAC ID 8325944499, 73 clinicians
CMSC LLCGroup PAC ID 5890602494, 92 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171

3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 216-8000

3436 Isleta Blvd SW
Albuquerque, NM 87105-5837
Phone (505) 462-7777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
49.22 of 100Reported as group
Quality
8.06
Improvement activities
40
Cost
90.69

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240740MTMDAdult Health Nurse Practitioner
11015472FLMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Vascular and Interventional PLLC CurrentSince Nov 1, 2021 Accepting new patients
CMSC, LLC CurrentSince Aug 19, 2024 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Nov 18, 2024 Accepting new patients
Great Falls Clinic LLC CurrentSince Aug 19, 2024 Accepting new patients
Floridian Hospitalist Services, LLC Current Accepting new patients
App of Florida HM, LLC CurrentSince Sep 20, 2021 Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA CurrentSince Nov 1, 2021 Accepting new patients
Floridian Hospitalist Services, LLC CurrentSince Feb 25, 2023 Accepting new patients
Santa Rosa HB Medical Services LLC CurrentSince Jul 21, 2023 Accepting new patients
Phi, Inc. PastSince Aug 14, 2013 Accepting new patients

Locations

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

327 Medcrest Dr
Unit B
Crestview, FL 32536
Phone (850) 682-0032

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

7720 US Highway 98 W
Ste 240
Miramar Beach, FL 32550
Phone (850) 502-5989

4250 Woodbine Rd
Pace, FL 32571
Phone (850) 626-7761

449 W 23rd St
Fl Gulf
Panama City, FL 32405
Phone (813) 873-6400

1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223

5149 N 9th Ave
Ste 120
Pensacola, FL 32504
Phone (850) 426-5191

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500

3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4
  • Direct secure messaging: larry.hall.1@25095.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1851061956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 WATERBURY CT",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325338411",
            "telephone_number": "850-529-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055240",
            "telephone_number": "406-216-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6002 Berryhill Rd",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325705062",
            "country_code": "US",
            "telephone_number": "850-626-5150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "LARRY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MT",
            "license": "240740",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "FL",
            "license": "11015472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.