CLARISSA ROBERTS HALL
NPI 1164702734
Nurse Practitioner - Family in Shelby, NC

Q: What is Clarissa Hall's NPI number?

The NPI number for Clarissa Hall is 1164702734. It was assigned to this individual provider in the NPPES registry on August 26, 2011.

Q: What is Clarissa Hall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Clarissa Hall was last updated on December 16, 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.

Active since August 26, 2011PECOS Enrolled

200 S POST RD, SHELBY, NC 28152(980) 484-5211 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Clarissa Roberts Hall NPPES

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

CLARISSA ROBERTS HALL (NPI 1164702734) is an individual family provider in Shelby, North Carolina, licensed in North Carolina (5005275) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164702734

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCLARISSA ROBERTS HALL

Location Address200 S POST RDShelby, NC 28152-6269

Mailing Address200 S Post RdShelby, NC 28152-6269 · (980) 484-5211

Phone(980) 484-5211

Sole ProprietorNo

Enumeration DateAugust 26, 2011

Last NPPES UpdateDecember 16, 2016

✔ NPI 1164702734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · 5005275

200 S POST RD, Shelby, NC 28152

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Other Identifiers 1

Medicaid7005159NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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)

Clarissa Roberts Hall 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 28152 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.

Other Providers at the Same Location NPPES 13

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

GASTON FAMILY HEALTH SERVICES, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))