Individual provider Active NPI

Wesley Walker Hall Jr., M.D.

  • Plastic Surgery Physician
  • Reno, NV
National Provider Identifier
1952402430
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
9073 Issued in NV
Practice address
635 Sierra Rose Dr.
Ste. a
Reno, NV 89511-2079
Phone
(775) 284-8296
Fax
(775) 332-6583
NPI assigned
Sep 26, 2006
Last updated
Oct 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9073 NV
Plastic Surgery Physician 208200000X 9073 NV Primary

Addresses

Primary practice location

635 Sierra Rose Dr.
Ste. a
Reno, NV 89511-2079

Mailing address

635 Sierra Rose Dr.
Ste. a
Reno, NV 89511-2079
Phone (775) 284-8296

Other identifiers 1

IdentifierTypeStateIssuer
002016842MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120607000609 NV Practitioner - Plastic and Reconstructive Surgery 6709040553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Nevada School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians
Hall and Wrye Plastic Surgeons, LTDGroup PAC ID 3274512264, 2 clinicians

Practice addresses (Care Compare)

10101 Double R Blvd
Reno, NV 89521-5931
Phone (775) 982-7878

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4000

635 Sierra Rose Dr
Suite a
Reno, NV 89511-2079
Phone (775) 284-8296

635 Sierra Rose Dr a
Reno, NV 89511-2079

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy24
Melanoma (skin cancer) excision13
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9073NVMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Jan 15, 2022 Accepting new patients
Hall and Wrye Plastic Surgeons, LTD Plastic Surgery CurrentSince Jul 1, 2000 Accepting new patients
Community Care Services LLC CurrentSince Jan 15, 2022 Accepting new patients
Community Care Services LLC Current Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Hall & Wrye Plastic Surgeons, LTD Specialist Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients

Locations

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

635 Sierra Rose Dr
Ste A
Reno, NV 89511
Phone (775) 284-8296

75 Pringle Way
Ste 1002
Reno, NV 89502
Phone (702) 323-7500

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1952402430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 SIERRA ROSE DR.",
            "address_2": "STE. A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112079",
            "telephone_number": "775-284-8296",
            "fax_number": "775-332-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 SIERRA ROSE DR.",
            "address_2": "STE. A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112079",
            "telephone_number": "775-284-8296",
            "fax_number": "775-332-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "WESLEY",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "9073",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NV",
            "license": "9073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016842",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.