DEIDRA HALL NP
NPI 1376369553
Nurse Practitioner - Family in Waukegan, IL
About Deidra Hall Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEIDRA HALL NP (NPI 1376369553) is an individual family provider in Waukegan, Illinois, licensed in Illinois (209.030954) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Vista Medical Center East, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Deidra Hall Np 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vista Medical Center East
Acute Care Hospitals · Waukegan, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60085 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAUKEGAN, IL 60085
WAUKEGAN, IL 60085
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 Deidra Hall's NPI number?
The NPI number for Deidra Hall is 1376369553. It was assigned to this individual provider in the NPPES registry on December 3, 2024.
Where is Deidra Hall located?
Deidra Hall practices at 1616 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 249-1733.
What is Deidra Hall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Deidra Hall enrolled in Medicare?
Yes. Deidra 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.
Is Deidra Hall affiliated with any hospitals?
According to CMS data, Deidra Hall is affiliated with Vista Medical Center East.
When was this NPI record last updated?
The NPPES record for Deidra Hall was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Deidra Hall, NP · NPI 1376369553
Family physician in Waukegan, Illinois. Individual provider, active in the CMS NPPES registry since December 3, 2024.
## Identity
- **NPI:** 1376369553 (Entity type: Individual)
- **Enumerated:** December 3, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.030954 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1616 GRAND AVE, Waukegan, IL 60085-3600
- **Phone:** (847) 249-1733
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376369553) · Data from the CMS NPPES public registry.