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CAROLYN HALL RN
NPI 1366049777
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since October 08, 2020PECOS EnrolledAccepts Medicare Assignment
4622 SE HAIG ST, PORTLAND, OR 97206(707) 483-9075 Get Directions Write a Review

NPPES record last updated: January 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 21, 2023, Oct 8, 2020 (2 updates tracked since 2020).

About Carolyn Hall Rn NPPES

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

CAROLYN HALL RN (NPI 1366049777) is an individual student in an organized health care education/training program in Portland, Oregon, licensed in Oregon (202003590RN) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Oregon Health Sciences University School Of Medicine (2023).

NPPES Registry Identity

NPI1366049777
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCAROLYN HALLCredential: RN
Location Address4622 SE HAIG STPortland, OR 97206-3149
Mailing Address4622 Se Haig StPortland, OR 97206-3149 · (707) 483-9075
Phone(707) 483-9075
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2023
Enumeration DateOctober 8, 2020
Last NPPES UpdateJanuary 21, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2023
✔ NPI 1366049777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OR · 202003590RN
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4622 SE HAIG ST, Portland, OR 97206
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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

Carolyn Hall Rn 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 ID4880049501
PECOS Enrollment IDI20231016000745
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.

Hospital Affiliations CMS Care Compare 2

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Adventist Health Portland

Acute Care Hospitals · Portland, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380060
Location10123 SE Market StreetPortland, OR 97216 · Multnomah County
Emergency services Birthing friendly

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 Carolyn Hall's NPI number?

The NPI number for Carolyn Hall is 1366049777. It was assigned to this individual provider in the NPPES registry on October 8, 2020.

Where is Carolyn Hall located?

Carolyn Hall practices at 4622 SE Haig St, Portland, OR 97206. The listed phone number is (707) 483-9075.

What is Carolyn Hall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carolyn Hall enrolled in Medicare?

Yes. Carolyn 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 Carolyn Hall accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Carolyn 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 Carolyn Hall affiliated with any hospitals?

According to CMS data, Carolyn Hall is affiliated with Ohsu Hospital And Clinics and Adventist Health Portland.

When was this NPI record last updated?

The NPPES record for Carolyn Hall was last updated on January 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.