Charlene Hall

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.027282 Issued in IL

Practice address

19801 Governors Hwy
Flossmoor, IL 60422-4362

Phone

(708) 960-2255

NPI assigned

May 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hansa Medical Groupe PLLC 40 clinicians

Post Acute Medical PLLC 433 clinicians

Altea Medical Illinois PLLC 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Altea Medical Illinois PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chicago Heights, IL
  • NPI 1447039227

  IL

  Medicare reassignment Care Compare group NPD
• Hansa Medical Groupe PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1386804615

  IL

  Medicare reassignment Care Compare group NPD
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  IL

  Medicare reassignment Care Compare group NPD
• Curana Health of Illinois PC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1891400156

  IL

  Medicare reassignment NPD
• Hansamssp LLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1013700541

  IL

  Medicare reassignment NPD
• Midwest Post Acute Care Aco PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1457926537

  IL, Nurse Practitioner

  Medicare reassignment NPD
• Midwest Post Acute Care PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1083012074

  IL, Nurse Practitioner

  Medicare reassignment NPD
• Sound Physicians of Illinois, LLC

  • Hospitalist Physician
  • Bridgeton, MO
  • NPI 1043598865

  IL

  Medicare reassignment NPD
• CH Specialty Services Il PLLC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1922707702

  IL

  Medicare reassignment
• Ny Long-Term Care Physician Services, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Uniondale, NY
  • NPI 1477121549

  IL

  Medicare reassignment
• Hyong Kim MD Service Corporation

  • General Practice Physician
  • Champaign, IL
  • NPI 1528749066
  NPD
• CH MSSP Services TN PLLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1003575838

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1891484366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N WOLF RD",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621114",
            "telephone_number": "773-370-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HWY",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224362",
            "telephone_number": "708-960-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.027282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latia Greer
• Bernadette Gruchalski, NP-C
• John A. Grund, D.D.S.
• James Samuel Habib, M.D.
• Lisa Michelle Haglund, LCSW
• Maureen Hall
• Elizabeth Kelly Hanno, O.D.
• Rachel Diane Harden-Maddox, LCPC, CADC
• Keshaun Necole Harding, FNP-BC
• Jennifer Booth Hardy, PHARM.D.

• All providers in Flossmoor, IL
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.

Verify at the official NPI Registry.