Individual provider Active NPI

Lance W Hall, APRN NP-C, CRNFA

  • Family Nurse Practitioner
  • Ennis, TX
National Provider Identifier
1992886923
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1003542 Issued in TX
Practice address
2203 W Lampasas St Ste 111
Ennis, TX 75119-5667
Phone
(972) 875-6200
NPI assigned
Oct 18, 2006
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 687286 TX
Family Nurse Practitioner 363LF0000X 1003542 TX Primary

Addresses

Primary practice location

2203 W Lampasas St Ste 111
Ennis, TX 75119-5667

Mailing address

2203 W Lampasas St Ste 111
Ennis, TX 75119-5667
Phone (972) 875-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200911002590 TX Practitioner - Nurse Practitioner 5991862310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Fredric Puckett PLLCGroup PAC ID 0345393872, 3 clinicians

Practice addresses (Care Compare)

2203 W Lampasas St
Suite 111
Ennis, TX 75119-5667
Phone (972) 875-6200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
687286TXMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Fredric Puckett, PLLC CurrentSince May 11, 2021 Accepting new patients
Mexia Principal Healthcare Limited Partnership CurrentSince Feb 10, 2021 Accepting new patients
Mexia Principal Healthcare Limited Partnership Current Accepting new patients
Mexia Principal Healthcare Limited Partnership CurrentSince Feb 10, 2021 Accepting new patients
North Texas Health Alliance, LLC PastSince Feb 26, 2009 Accepting new patients

Locations

2203 W Lampasas St
Ste 111
Ennis, TX 75119
Phone (972) 875-6200

514 S Bonham St
Mexia, TX 76667
Phone (254) 562-9321

514 S Bonham St
Ste D
Mexia, TX 76667
Phone (254) 562-5961

101 Anthony Dr
Teague, TX 75860
Phone (254) 739-5655

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11523/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lance.hall.1@11523.direct.athenahealth.com
  • Direct secure messaging: nye7506@yourcarecommunity.org

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, 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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1992886923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST STE 111",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195667",
            "telephone_number": "972-875-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST STE 111",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195667",
            "telephone_number": "972-875-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "LANCE",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "APRN NP-C, CRNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "687286",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1003542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

Verify at the official NPI Registry.