Amanda Brooke Hall, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-158166 Issued in AL

Practice address

488 Saint Lukes Dr
Montgomery, AL 36117-7104

Phone

(256) 496-2635

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

No

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 AL

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ivy Creek of Tallapoosa LLCGroup PAC ID 8123938719, 13 clinicians

Hospice Advantage Midco LLCGroup PAC ID 6608020334, 12 clinicians

Ivy Creek Family Care of Lake MartinGroup PAC ID 6103281977, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Hospice Advantage Midco, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Auburn, AL
  • NPI 1093238248

  AL

  Medicare reassignment Care Compare group NPD
• Ivy Creek Family Care of Lake Martin

  • Urgent Care Clinic/Center
  • Dadeville, AL
  • NPI 1609572890

  AL

  Medicare reassignment Care Compare group NPD
• Ivy Creek of Tallapoosa LLC

  • Rural Health Clinic/Center
  • Dadeville, AL
  • NPI 1932130002

  AL

  Medicare reassignment Care Compare group NPD
• Rural Urgent Care LLC

  • Urgent Care Clinic/Center
  • Centre, AL
  • NPI 1932586476

  AL

  Medicare reassignment NPD
• Ivy Creek of Tallapoosa, LLC

  • Clinical Medical Laboratory
  • Dadeville, AL
  • NPI 1932783693
  Care Compare group NPD
• Ivy Creek of Tallapoosa LLC

  • Home Health Agency
  • Dadeville, AL
  • NPI 1225211709
  Care Compare group
• Ivy Creek of Tallapoosa, LLC

  • Rural Acute Care Hospital
  • Dadeville, AL
  • NPI 1598783904
  Care Compare group
• Hospice Advantage Midco, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Birmingham, AL
  • NPI 1588348882

  Family

  NPD
• Rural Urgent Care LLC

  • Rural Health Clinic/Center
  • Eufaula, AL
  • NPI 1588450316
  NPD
• Sunshine Pediatrics, LLC

  • Pediatrics Physician
  • Auburn, AL
  • NPI 1811595226
  NPD (past)
• Sunshine Pediatrics LLC

  • Specialist
  • Seattle, WA
  • NPI 1871275586
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The East Alabama Health Care Authority

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1992463624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177104",
            "telephone_number": "256-496-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "AMANDA",
        "middle_name": "BROOKE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-158166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hairzone
• Daniel Hake, MD
• Jewell H Halanych, M.D.
• Bernard Theotis Hale, MD
• Tyula Hale, RN
• David Dean Hall, DO
• Jenella Hall
• Ray Anthony Hall Jr., DPT
• Robbie L. Hall, NP
• Shelby Craft Hall, M.S.

• All providers in Montgomery, AL
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.