Lance W Hall, APRN NP-C, CRNFA

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

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

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)

Hospital & facility affiliations

• Ennis Regional Medical Center Hospital, Ennis, TX, CCN 450833
• Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Dr. Fredric Puckett, PLLC

  • Family Medicine Physician
  • Ennis, TX
  • NPI 1073748562
  Medicare reassignment Care Compare group NPD
• Mexia Principal Healthcare Limited Partnership

  • Rural Health Clinic/Center
  • Mexia, TX
  • NPI 1730241852
  Medicare reassignment NPD
• Mexia Principal Healthcare Limited Partnership

  • Rural Health Clinic/Center
  • Buffalo, TX
  • NPI 1376096263
  NPD
• Mexia Principal Healthcare Limited Partnership

  • Family Medicine Physician
  • Streetman, TX
  • NPI 1780249078
  NPD
• North Texas Health Alliance, LLC

  • Ambulatory Surgical Clinic/Center
  • Ennis, TX
  • NPI 1417120684
  NPD (past)

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

• Baylor Medical Center at Waxahachie

  • General Acute Care Hospital
  • Waxahachie, TX
  • NPI 1265430177
  Care Compare affiliation
• PRHC Ennis LP

  • General Acute Care Hospital
  • Ennis, TX
  • NPI 1700805678
  Care Compare affiliation

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID #",
            "identifier": "7444720",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER ID #",
            "identifier": "2549178",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID #",
            "identifier": "8N8069 OR 0037KE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Guillory, LPC, NBCC
• H Manor LLC
• H-E-B, LP
• James H Haberman, PT
• Heather R Hall, MSN, APRN, FNP-C
• Wesley Hall, DPT
• Trevor Karl Hansen, PT, DPT
• Madison Kay Hatfield
• Emily S Hatley, LMT
• James X He, PHARM.D.

• Family Nurse Practitioner in Ennis, TX
• Providers in Ennis, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.