MRS. THERESA GALE HALL APRN
NPI 1265984181
Nurse Practitioner - Gerontology in Palmer, AK

Active since October 26, 2016PECOS EnrolledAccepts Medicare Assignment
85.82/100
CMS Quality Rating
2490 S WOODWORTH LOOP STE 250, PALMER, AK 99645(907) 861-6700 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2019, Oct 31, 2018, Dec 13, 2016 and 1 more (4 updates tracked since 2016).

About Mrs. Theresa Gale Hall Aprn NPPES

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

MRS. THERESA GALE HALL APRN (NPI 1265984181) is an individual gerontology provider in Palmer, Alaska, licensed in Alaska (132563) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2016).

NPPES Registry Identity

NPI1265984181
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. THERESA GALE HALLCredential: APRN
Location Address2490 S WOODWORTH LOOP STE 250Palmer, AK 99645-7407
Mailing Address2490 S Woodworth Loop Ste 250Palmer, AK 99645-7407 · (907) 861-6700
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2016
Enumeration DateOctober 26, 2016
Last NPPES UpdateJanuary 16, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
NPI 1265984181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses Licensed in AK · 132563 Licensed in KY · 3010502
2490 S WOODWORTH LOOP STE 250, Palmer, AK 99645

Other Identifiers 1

Medicaid1685772AK

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 and accepts Medicare assignment

Mrs. Theresa Gale Hall Aprn 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 ID749562353
PECOS Enrollment IDI20180515002441
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 2

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.
293 services268 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.
44 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99645 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

85.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.86
Promoting Interoperability100
Improvement Activities40
Cost67.5

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
2490 S WOODWORTH LOOP STE 250
PALMER, AK 99645
Internal Medicine
2490 S WOODWORTH LOOP STE 250
PALMER, AK 99645
Internal Medicine (Interventional Cardiology)
2490 S WOODWORTH LOOP STE 250
PALMER, AK 99645

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 Theresa Hall's NPI number?

The NPI number for Theresa Hall is 1265984181. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Theresa Hall located?

Theresa Hall practices at 2490 S Woodworth Loop Ste 250, Palmer, AK 99645. The listed phone number is (907) 861-6700.

What is Theresa Hall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Theresa Hall enrolled in Medicare?

Yes. Theresa 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 Theresa Hall accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Theresa 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.

When was this NPI record last updated?

The NPPES record for Theresa Hall was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.