Individual provider Active NPI

Randy Lewis Hall, APRN

  • Adult Health Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1992700587
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A01720 Issued in AR
Practice address
200 Heartcenter LN
Hot Springs, AR 71913-6351
Phone
(501) 625-8400
Fax
(501) 625-8446
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A01720 APN AR
Adult Health Nurse Practitioner 363LA2200X A01720 AR Primary

Addresses

Primary practice location

200 Heartcenter LN
Hot Springs, AR 71913-6351

Mailing address

200 Heartcenter LN
Hot Springs, AR 71913-6351
Phone (501) 625-8400

Other identifiers 1

IdentifierTypeStateIssuer
181258758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20100714000746 AR Practitioner - Nurse Practitioner 7214069046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHI St Vincent Medical Group Hot SpringsGroup PAC ID 3971673716, 184 clinicians

Practice addresses (Care Compare)

200 Heartcenter LN
Hot Springs, AR 71913-6351
Phone (501) 624-6641

Hospital & facility affiliations

  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01720 APNARMDNurse Practitioner
A01720ARMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Apr 1, 2010 Accepting new patients
Hot Springs MRI Center Past Accepting new patients

Locations

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

200 Heartcenter Ln
Hot Springs National Park, AR 71913
Phone (501) 624-6641

Interoperability endpoints

  • Direct secure messaging: rhall174231@directb.mercy.net

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1992700587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HEARTCENTER LN",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136351",
            "telephone_number": "501-625-8400",
            "fax_number": "501-625-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEARTCENTER LN",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136351",
            "telephone_number": "501-625-8400",
            "fax_number": "501-625-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "RANDY",
        "middle_name": "LEWIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A01720 APN",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A01720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181258758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.