HALL HEALTHCARE LLC
NPI 1104700913
Nurse Practitioner in Bridgeport, CT

Q: What is Hall Healthcare LLC's NPI number?

The NPI number for Hall Healthcare LLC is 1104700913. It was assigned to this organization in the NPPES registry on August 4, 2025.

Q: What is Hall Healthcare LLC's specialty?

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

Active since August 04, 2025

113 MIDDLE ST, BRIDGEPORT, CT 06604(203) 997-1756(641) 847-5518 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Hall Healthcare Llc NPPES

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

HALL HEALTHCARE LLC (NPI 1104700913) is a healthcare organization registered as a nurse practitioner in Bridgeport, Connecticut and active in the NPI registry since August 2025. The organization lists Dwayne Alansier Hall, Owner, as its authorized official.

NPPES Registry Identity

NPI1104700913

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameHALL HEALTHCARE LLC

Location Address113 MIDDLE STBridgeport, CT 06604-4410

Mailing Address113 Middle StBridgeport, CT 06604-4410 · (203) 997-1756 · Fax (641) 847-5518

Phone(203) 997-1756

Fax(641) 847-5518

Organization SubpartNo

Authorized OfficialDwayne Alansier HallOwner · (203) 997-1756

Enumeration DateAugust 4, 2025

NPPES CertifiedAugust 4, 2025

✔ NPI 1104700913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

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.

113 MIDDLE ST, Bridgeport, CT 06604

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hall Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Hall Healthcare LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Tiffany Bailey

Nurse Practitioner

NPI 1023895380

968 FAIRFIELD AVE
Bridgeport, CT 06605

(203) 330-6000

✔ PECOS✔ Accepts Medicare0.8 mi

Dwayne Hall, DNP

Nurse Practitioner

NPI 1013624535

130 DIVISION ST
Derby, CT 06418

(203) 735-7421

✔ PECOS✔ Accepts Medicare12 mi

Chioma Ishie, FNP-BC

Nurse Practitioner

NPI 1497592497

1952 WHITNEY AVE STE 3
Hamden, CT 06517

(203) 848-1803

✔ PECOS✔ Accepts Medicare20 mi

Tarsha Scarlett-Grant, FNP

Nurse Practitioner

NPI 1982481149

9 UNION SQ UNIT 1051
Southbury, CT 06488

(475) 689-7021

✔ PECOS✔ Accepts Medicare20 mi

Shawnlee Hutchinson-Mitchell, APRN, FNP

Nurse Practitioner

NPI 1043935505

141 S CENTRAL AVE STE 205
Hartsdale, NY 10530

(914) 793-5588

✔ PECOS✔ Accepts Medicare33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Hall Healthcare LLC's NPI number?

The NPI number for Hall Healthcare LLC is 1104700913. It was assigned to this organization in the NPPES registry on August 4, 2025.

Where is Hall Healthcare LLC located?

Hall Healthcare LLC is located at 113 Middle St, Bridgeport, CT 06604. The listed phone number is (203) 997-1756.

What is Hall Healthcare LLC's specialty?

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

Is Hall Healthcare LLC enrolled in Medicare?

Yes. Hall Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hall Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Hall Healthcare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Hall Healthcare LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Hall Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hall Healthcare LLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.