CAROLYN HALL RN
NPI 1366049777
Nurse Practitioner - Family in Portland, OR
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 family provider in Portland, Oregon, licensed in Oregon (10014254NP) 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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Carolyn Hall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97206
- Reassigned Medicare billing, Oregon enrollment
- 144 clinicians in this Medicare group
Portland, OR 97201
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ORAdventist Health Portland
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORTLAND, OR 97206
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 4212 SE Division St Ste 150, Portland, OR 97206. The listed phone number is (503) 418-1500.
What is Carolyn Hall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
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.
Which organizations bill Medicare for Carolyn Hall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Hall reassigns Medicare benefits to 2 organizations: Oregon Health & Science University (Portland, OR) and University Professional Services (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carolyn Hall accept?
Health plans from PacificSource Health Plans and Providence Health Plan 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 October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.
# Carolyn Hall, RN · NPI 1366049777
Family physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since October 8, 2020.
## Identity
- **NPI:** 1366049777 (Entity type: Individual)
- **Enumerated:** October 8, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 10014254NP (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4212 SE DIVISION ST STE 150, Portland, OR 97206-1628
- **Phone:** (503) 418-1500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Oregon Health & Science University (NPI 1487902706, Portland, OR); University Professional Services (NPI 1316354970, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** October 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366049777) · Data from the CMS NPPES public registry.