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MR. MATTHEW REID HALE CRNP
NPI 1477022739
Nurse Practitioner - Adult Health in Birmingham, AL

Active since November 16, 2018PECOS EnrolledAccepts Medicare Assignment
1808 7TH AVE S, BIRMINGHAM, AL 35233(205) 514-2326 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Matthew Reid Hale Crnp NPPES

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

MR. MATTHEW REID HALE CRNP (NPI 1477022739) is an individual adult health provider in Birmingham, Alabama, licensed in Alabama (1-129595) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477022739
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. MATTHEW REID HALECredential: CRNP
Location Address1808 7TH AVE SBirmingham, AL 35233-1912
Mailing Address134 Treasure TrlGardendale, AL 35071-3481 · (205) 514-2326
Phone(205) 514-2326
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 16, 2018
Last NPPES UpdateJune 29, 2023
✔ NPI 1477022739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AL · 1-129595
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1-129595 (AL)
1808 7TH AVE S, Birmingham, AL 35233
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11802 6th Ave SBirmingham, AL 35233-1932 · Phone (205) 934-3411
Location 2563 1720 2nd Avenue SouthBirmingham, AL 35294-0001 · Phone (205) 934-9766

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Mr. Matthew Reid Hale Crnp 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 ID4486991429
PECOS Enrollment IDI20190129001203
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 6

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.
33 services25 patients
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.
25 services21 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.
17 services14 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
15 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 9

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

MS. SHANNON LOCKE GUTHRIE M.S.N.
Nurse Practitioner (Family)
1808 7TH AVE S, BOSHELL BLDG
BIRMINGHAM, AL 35233
Jefferson County (205) 934-9766
DR. LAYLA MANSOUR M GHAZALI MD
Surgery
1808 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-9600
MS. KRISTEN WONG MD
Surgery
1808 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-2003
MICHELLE MARIE HOLLAND MD
Student in an Organized Health Care Education/Training Program
1808 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-9600
GARIMA ARORA MD, MRCP
Internal Medicine (Cardiovascular Disease)
1808 7TH AVE S, BDB 201
BIRMINGHAM, AL 35233
Jefferson County (205) 394-0820
DANIELLE CHRISTINE SUTZKO M.D.
Surgery (Vascular Surgery)
1808 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3411
SARA DANIELLE PHILLIPS CRNP
Nurse Practitioner (Adult Health)
1808 7TH AVE S, BDB 503
BIRMINGHAM, AL 35233
Jefferson County (205) 934-2006
WILLIAM FENWICK GARDNER II
Student in an Organized Health Care Education/Training Program
1808 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-2490

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 Matthew Hale's NPI number?

The NPI number for Matthew Hale is 1477022739. It was assigned to this individual provider in the NPPES registry on November 16, 2018.

Where is Matthew Hale located?

Matthew Hale practices at 1808 7th Ave S, Birmingham, AL 35233. The listed phone number is (205) 514-2326.

What is Matthew Hale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Matthew Hale enrolled in Medicare?

Yes. Matthew Hale 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 Matthew Hale accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Matthew Hale 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 Matthew Hale was last updated on June 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.