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MADISON LEE HALL AGACNP-BC
NPI 1316581135
Nurse Practitioner - Gerontology in Hendersonville, NC

Active since November 05, 2019PECOS EnrolledAccepts Medicare Assignment
50 HOSPITAL DR STE 1D, HENDERSONVILLE, NC 28792(828) 684-2234(828) 209-5338 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 19, 2022, Oct 7, 2021, Dec 12, 2019 and 1 more (4 updates tracked since 2019).

About Madison Lee Hall Agacnp-bc NPPES

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

MADISON LEE HALL AGACNP-BC (NPI 1316581135) is an individual gerontology provider in Hendersonville, North Carolina, licensed in North Carolina (5013499) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Margaret R Pardee Memorial Hospital, and is a graduate of University Of South Carolina School Of Medicine (2019).

NPPES Registry Identity

NPI1316581135
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMADISON LEE HALLCredential: AGACNP-BC
Location Address50 HOSPITAL DR STE 1DHendersonville, NC 28792-5243
Mailing AddressPo Box 1869Fletcher, NC 28732-1869 · (828) 687-5681
Phone(828) 684-2234
Fax(828) 209-5338
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2019
Enumeration DateNovember 5, 2019
Last NPPES UpdateJanuary 13, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1316581135 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
License✔ Licensed in NC · 5013499
50 HOSPITAL DR STE 1D, Hendersonville, NC 28792
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Other Identifiers 1

Medicaid1316581135NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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

Madison Lee Hall Agacnp-bc 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 ID4981038189
PECOS Enrollment IDI20201020000438
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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 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.
377 services50 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 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.
192 services43 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 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.
89 services36 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
33 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28792 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 2

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

MR. COREY BENJAMIN ANDERSON PAC
Physician Assistant
50 HOSPITAL DR STE 1D
HENDERSONVILLE, NC 28792
Henderson County (828) 684-2234
SHARON R KAST N. P.
Nurse Practitioner
50 HOSPITAL DR STE 1D
HENDERSONVILLE, NC 28792
Henderson County (828) 684-2234

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 Madison Hall's NPI number?

The NPI number for Madison Hall is 1316581135. It was assigned to this individual provider in the NPPES registry on November 5, 2019.

Where is Madison Hall located?

Madison Hall practices at 50 Hospital Dr Ste 1D, Hendersonville, NC 28792. The listed phone number is (828) 684-2234.

What is Madison Hall's specialty?

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

Is Madison Hall enrolled in Medicare?

Yes. Madison 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 Madison Hall accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Madison 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 Madison Hall affiliated with any hospitals?

According to CMS data, Madison Hall is affiliated with Margaret R Pardee Memorial Hospital and Adventhealth Hendersonville.

When was this NPI record last updated?

The NPPES record for Madison Hall was last updated on January 13, 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.