CHANDRA TAMIKO HALL NP
NPI 1053849679
Nurse Practitioner in Fairfax, VA

Active since May 26, 2017PECOS Enrolled
3053 NUTLEY ST, FAIRFAX, VA 22031(703) 560-4862 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2021, Apr 16, 2021, May 26, 2017 (3 updates tracked since 2017).

About Chandra Tamiko Hall Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANDRA TAMIKO HALL NP (NPI 1053849679) is an individual nurse practitioner in Fairfax, Virginia, licensed in Virginia (0024174838) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053849679
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHANDRA TAMIKO HALLCredential: NP
Location Address3053 NUTLEY STFairfax, VA 22031-1931
Mailing Address3002 Wincanton CvSuffolk, VA 23435-2395 · (703) 362-2263
Sole ProprietorNo
Enumeration DateMay 26, 2017
Last NPPES UpdateSeptember 24, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
NPI 1053849679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in VA · 0024174838
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024174838 (VA)
3053 NUTLEY ST, Fairfax, VA 22031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Chandra Tamiko Hall Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3053 NUTLEY ST
FAIRFAX, VA 22031
Nurse Practitioner (Family)
3053 NUTLEY ST
FAIRFAX, VA 22031
Pharmacist
3053 NUTLEY ST
FAIRFAX, VA 22031
Pharmacist
3053 NUTLEY ST
FAIRFAX, VA 22031
Nurse Practitioner (Family)
3053 NUTLEY ST
FAIRFAX, VA 22031
Nurse Practitioner (Family)
3053 NUTLEY ST
FAIRFAX, VA 22031
Pharmacy
3053 NUTLEY ST
FAIRFAX, VA 22031
Nurse Practitioner (Family)
3053 NUTLEY ST
FAIRFAX, VA 22031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chandra Hall's NPI number?

The NPI number for Chandra Hall is 1053849679. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Where is Chandra Hall located?

Chandra Hall practices at 3053 Nutley St, Fairfax, VA 22031. The listed phone number is (703) 560-4862.

What is Chandra Hall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Chandra Hall enrolled in Medicare?

Yes. Chandra Hall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chandra Hall was last updated on September 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.