Individual provider Active NPI

Patricia Danielle Hall, C.P.N.P.

  • Pediatric Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1902847163
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R864001 Issued in MS
Practice address
12100 Highway 49
Gulfport, MS 39503-3063
Phone
(228) 831-1988
Fax
(228) 831-1978
NPI assigned
Jun 9, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R864001 MS Primary

Addresses

Primary practice location

12100 Highway 49
Gulfport, MS 39503-3063

Mailing address

2500 North State Street
JMM Suite 2525
Jackson, MS 39216-4500
Phone (601) 815-9528

Other identifiers 1

IdentifierTypeStateIssuer
05802031MedicaidMS

Other names 1

  • Patricia Danielle Hall Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20070315000201 MS Practitioner - Nurse Practitioner 0941303705 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R864001MSMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Mar 26, 2018 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Mar 26, 2018 Accepting new patients

Locations

833 Highway 90
Bay St Louis, MS 39520
Phone (228) 392-7046

920 Tommy Munro Dr
Biloxi, MS 39532
Phone (228) 396-3167

12259 Highway 49
Gulfport, MS 39503
Phone (228) 392-7046

8950 Lorraine Rd
Gulfport, MS 39503
Phone (228) 396-3238

8950 Lorraine Rd
Ste A
Gulfport, MS 39503
Phone (228) 392-7046

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

2500 N State St
Ste 2525
Jackson, MS 39216
Phone (601) 984-6441

Interoperability endpoints

  • Direct secure messaging: danielle.hallnp.p1@direct.cfhc.nextgenshare.com
  • Direct secure messaging: patricia.hall.1@30072.direct.athenahealth.com
  • Direct secure messaging: phall85225@ummc.direct-ci.com

Organizations & group practices 2

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1902847163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NORTH STATE STREET",
            "address_2": "JMM SUITE 2525",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-815-9528",
            "fax_number": "601-984-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033063",
            "telephone_number": "228-831-1988",
            "fax_number": "228-831-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "PATRICIA",
        "middle_name": "DANIELLE",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "R864001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05802031",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "HALL",
            "middle_name": "DANIELLE",
            "credential": "C.P.N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.