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BETTY A GWINN-HALL CNP
NPI 1114076148
Nurse Practitioner - Women's Health in Coshocton, OH

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
311 S 15TH ST STE 102, COSHOCTON, OH 43812(740) 622-7144(740) 622-7166 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Betty A Gwinn-hall Cnp NPPES

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

BETTY A GWINN-HALL CNP (NPI 1114076148) is an individual women's health provider in Coshocton, Ohio, licensed in Ohio (NP-05751) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1114076148
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameBETTY A GWINN-HALLCredential: CNP
Location Address311 S 15TH ST STE 102Coshocton, OH 43812-1874
Mailing Address1200 S 16th StCoshocton, OH 43812-2754 · (740) 622-6154
Phone(740) 622-7144
Fax(740) 622-7166
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 9, 2007
Last NPPES UpdateNovember 15, 2016
✔ NPI 1114076148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in OH · NP-05751
311 S 15TH ST STE 102, Coshocton, OH 43812
Open in Google Maps ↗

Other Names 1

Former Name (1)Betty A Sturtz Cnp

Other Identifiers 3

OtherSTU1-0427-9584OH · Ncc Provider License
Medicare PIN2270420OH
Medicare PINNP76533OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Betty A Gwinn-hall Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456440080
PECOS Enrollment IDI20071205000373
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
133 services74 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
107 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services22 patients
Irrigation of vagina and/or application of drug to treat infection 57150
This procedure involves gently flushing the internal area with a sterile solution to cleanse it. After cleansing, a medication is applied to help treat any existing infection. This process is performed by a healthcare professional to ensure your comfort and safety.
24 services12 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43812 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
65%99 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
44%168 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%189 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
1%154 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

TAMMIE HANNA FNP
Nurse Practitioner (Family)
311 S 15TH ST STE 102
COSHOCTON, OH 43812
Coshocton County (740) 622-0332
DR. JEFFREY ASHER HAMILTON D.O.
Family Medicine
311 S 15TH ST STE 102
COSHOCTON, OH 43812
Coshocton County (740) 622-0332

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 Betty Gwinn-hall's NPI number?

The NPI number for Betty Gwinn-hall is 1114076148. It was assigned to this individual provider in the NPPES registry on January 9, 2007. The provider is also known as Betty A Sturtz Cnp.

Where is Betty Gwinn-hall located?

Betty Gwinn-hall practices at 311 S 15th St Ste 102, Coshocton, OH 43812. The listed phone number is (740) 622-7144.

What is Betty Gwinn-hall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Betty Gwinn-hall enrolled in Medicare?

Yes. Betty Gwinn-hall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Betty Gwinn-hall accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Betty Gwinn-hall 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.

Is Betty Gwinn-hall affiliated with any hospitals?

According to CMS data, Betty Gwinn-hall is affiliated with Genesis Hospital.

When was this NPI record last updated?

The NPPES record for Betty Gwinn-hall was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.