Active NPI
Larry D Hall Jr.
- Acute Care Clinical Nurse Specialist
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Clinical Nurse Specialist
- License
- 11015472
- Practice address
- 3010 15TH Ave S
Great Falls, MT 59405-5240 - Phone
- (406) 216-8000
- NPI assigned
- Sep 20, 2021
- Last updated
- Sep 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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 100
- Quality
- 8.06
- Improvement activities
- 40
- Cost
- 90.69
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.98 of 100
- Quality
- 80.39
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240740 | MT | MD | Adult Health Nurse Practitioner |
| 11015472 | FL | MD | Acute Care Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Vascular and Interventional PLLC | Current | Accepting new patients | |
| CMSC, LLC | Current | Accepting new patients | |
| Hospital Medicine Services of FL, LLC | Current | Accepting new patients | |
| Great Falls Clinic LLC | Current | Accepting new patients | |
| Floridian Hospitalist Services, LLC | Current | Accepting new patients | |
| App of Florida HM, LLC | Current | Accepting new patients | |
| Cardiothoracic & Vascular Surgical Associates PA | Current | Accepting new patients | |
| Floridian Hospitalist Services, LLC | Current | Accepting new patients | |
| Santa Rosa HB Medical Services LLC | Current | Accepting new patients | |
| Phi, Inc. | Past | 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
- https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4
- 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.
-
dba Great Falls Clinic Hospital
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1801897780
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1851403125
-
- Vascular Surgery Physician
- Pensacola, FL
- NPI 1285888180
-
- Hospitalist Physician
- Melbourne, FL
- NPI 1831530385
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Emergency Medicine Physician
- Milton, FL
- NPI 1982384988
-
- Hospitalist Physician
- Milton, FL
- NPI 1841772316
-
- Hospitalist Physician
- Crestview, FL
- NPI 1881049997
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
Hospital
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
dba Great Falls Clinic Hospital
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.