DEBRA HALL ANP
NPI 1164494886
Nurse Practitioner in Concord, NC

Active since February 06, 2006PECOS Enrolled
101 CABARRUS AVE E, CONCORD, NC 28025(888) 849-7379(855) 857-7333 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Debra Hall Anp NPPES

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

DEBRA HALL ANP (NPI 1164494886) is an individual nurse practitioner in Concord, North Carolina, licensed in North Carolina (900261) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1164494886
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDEBRA HALLCredential: ANP
Location Address101 CABARRUS AVE EConcord, NC 28025-3699
Mailing Address101 Cabarrus Ave EConcord, NC 28025-3699 · (888) 849-7379 · Fax (855) 857-7333
Fax(855) 857-7333
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 6, 2006
Last NPPES UpdateDecember 16, 2019
NPI 1164494886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 900261
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.

101 CABARRUS AVE E, Concord, NC 28025

Other Identifiers 1

Medicaid7000327NC

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5890822233
PECOS Enrollment IDI20100416000365
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 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
766 services143 patients
Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
380 services101 patients
Follow-up nursing facility visit per day, typically 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
214 services89 patients
Initial nursing facility visit per day, typically 45 minutes 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
69 services65 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
68 services51 patients
Follow-up nursing facility visit per day, typically 35 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
56 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%295 patients4/55-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…
17%291 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers14 claims14 services$53.47 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers34 claims34 services$17.95 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers15 claims15 services$8.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
101 CABARRUS AVE E
CONCORD, NC 28025
Psychiatry & Neurology (Psychiatry)
101 CABARRUS AVE E
CONCORD, NC 28025
Social Worker (Clinical)
101 CABARRUS AVE E
CONCORD, NC 28025
Social Worker (Clinical)
101 CABARRUS AVE E
CONCORD, NC 28025
Social Worker (Clinical)
101 CABARRUS AVE E
CONCORD, NC 28025
Family Medicine
101 CABARRUS AVE E
CONCORD, NC 28025
Nurse Practitioner (Psychiatric/Mental Health)
101 CABARRUS AVE E
CONCORD, NC 28025
Nurse Practitioner (Family)
101 CABARRUS AVE E
CONCORD, NC 28025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164494886, enumerated as an "individual" on February 06, 2006.

The provider is located at 101 CABARRUS AVE E CONCORD, NC 28025 and the phone number is (888) 849-7379.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.