Individual provider Active NPI

Scott T Hall, PA-C

  • Physician Assistant
  • Grand Junction, CO
National Provider Identifier
1922352855
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005197 Issued in CO
Practice address
2515 Foresight Cir Unit 200
Grand Junction, CO 81505-1156
Phone
(970) 245-2400
NPI assigned
Oct 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0005197 CO Primary

Addresses

Primary practice location

2515 Foresight Cir Unit 200
Grand Junction, CO 81505-1156

Mailing address

PO Box 10700
Grand Junction, CO 81502-5517
Phone (970) 254-2642

Other practice location 1

455 Kokopelli Blvd Ste C
Fruita, CO 81521-8710
Phone (970) 256-5285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130528000331 OR Practitioner - Physician Assistant 3779721055
I20180201000620 CO Practitioner - Physician Assistant 3779721055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Partners IncGroup PAC ID 7810893161, 58 clinicians

Practice addresses (Care Compare)

2515 Foresight Cir
Suite 200
Grand Junction, CO 81505-1018
Phone (970) 245-2400

2515 Foresight Circle
Suite 200
Grand Junction, CO 81505-1018

3150 N 12TH St
Grand Junction, CO 81506-2863
Phone (970) 245-1220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0005197COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, Inc. Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Colorado West Otolaryngologists PC CurrentSince Feb 19, 2018 Accepting new patients
Primary Care Partners, Inc. Past Accepting new patients

Locations

455 Kokopelli Blvd
Ste C
Fruita, CO 81521
Phone (970) 256-5285

2643 Patterson Rd
Ste 503
Grand Junction, CO 81506
Phone (970) 245-2400

2515 Foresight Cir
Unit 200
Grand Junction, CO 81505
Phone (970) 245-2400

3150 N 12th St
Grand Junction, CO 81506
Phone (970) 243-5437

Interoperability endpoints

  • Direct secure messaging: scotthall@cwo.allscriptsdirect.net

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": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1922352855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10700",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815025517",
            "telephone_number": "970-254-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 FORESIGHT CIR UNIT 200",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051156",
            "telephone_number": "970-245-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Kokopelli Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815218710",
            "country_code": "US",
            "telephone_number": "970-256-5285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "SCOTT",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.