Individual provider Active NPI

Jodi Lynn Hall, NP-C

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1891264065
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10181136 Issued in MD
Practice address
1050 Key Pkwy Ste 103
Frederick, MD 21702-4496
Phone
(240) 629-3944
NPI assigned
Nov 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10181136 MD Primary

Addresses

Primary practice location

1050 Key Pkwy Ste 103
Frederick, MD 21702-4496

Mailing address

1050 Key Pkwy Ste 103
Frederick, MD 21702-4496
Phone (240) 629-3944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20190603000099 MD Practitioner - Nurse Practitioner 5890028179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Frederick Health Medical Group LLCGroup PAC ID 9931341096, 200 clinicians

Practice addresses (Care Compare)

187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503

504 E Ridgeville Blvd
Mount Airy, MD 21771-5942
Phone (240) 215-6310

Hospital & facility affiliations

  • Frederick Health Home Care Home health agency, Frederick, MD, CCN 217034
  • Home Call Home health agency, Frederick, MD, CCN 217040
  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10181136MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC CurrentSince Jul 19, 2021 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Jul 19, 2021 Accepting new patients
Frederick Health Medical Group LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

504 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (301) 703-5452

504 E Ridgeville Blvd
Ste 120
Mount Airy, MD 21771
Phone (240) 215-6370

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1542412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1891264065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 KEY PKWY STE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024496",
            "telephone_number": "240-629-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 KEY PKWY STE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024496",
            "telephone_number": "240-629-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-17",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F10181136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.