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JACQUELINE HALL
NPI 1508254517
Nurse Practitioner - Psychiatric/Mental Health in Cottage Grove, OR

Active since December 27, 2014PECOS Enrolled
1345 BIRCH AVE, COTTAGE GROVE, OR 97424(541) 942-3939 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacqueline Hall NPPES

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

JACQUELINE HALL (NPI 1508254517) is an individual psychiatric/mental health provider in Cottage Grove, Oregon, licensed in Washington (201500067NP-PP) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508254517
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACQUELINE HALL
Location Address1345 BIRCH AVECottage Grove, OR 97424-1416
Mailing Address492 E 13th Ave Ste 205Eugene, OR 97401-4250 · (541) 513-2625 · Fax (541) 505-9042
Phone(541) 942-3939
Sole ProprietorNo
Enumeration DateDecember 27, 2014
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1508254517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in WA · 201500067NP-PP✔ Licensed in OR · 201500067NP-PP
1345 BIRCH AVE, Cottage Grove, OR 97424
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., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Hall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jacqueline Hall reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hiv Alliance
17 mi
Case Management
1966 GARDEN AVE
Eugene, OR 97403
  • Reassigned Medicare billing, Oregon enrollment
  • 4 clinicians in this Medicare group
NPI 1295134708 (541) 342-5088
Lane County Oregon
18 mi
Federally Qualified Health Center (FQHC)
2073 OLYMPIC ST
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • 143 clinicians in this Medicare group
NPI 1326138314 (541) 682-3550
Lifeworks NW
119 mi
Mental Health
5415 SW WESTGATE DRIVE
Portland, OR 97221
  • Reassigned Medicare billing, Oregon enrollment
  • 50 clinicians in this Medicare group
NPI 1467408013 (503) 645-3581
Telecare Mental Health Services Of Washington, Inc
129 mi
Mental Health (Including Community Mental Health Center)
1601 E 4TH PLAIN BLVD
Vancouver, WA 98661
  • Reassigned Medicare billing, Washington enrollment
  • 76 clinicians in this Medicare group
NPI 1699162925 (360) 397-8474

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97424 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 20

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

THERESE N MASTIN M.A., QMHP
Counselor (Professional)
1345 BIRCH AVE
COTTAGE GROVE, OR 97424
Lane County (541) 942-3939
TESSA HART MED, QMHP
Counselor (Mental Health)
1345 BIRCH AVE
COTTAGE GROVE, OR 97424
Lane County (541) 942-3939
EMILIO MICHAEL AARON MCCUTCHEON
Counselor (Mental Health)
1345 BIRCH AVE
COTTAGE GROVE, OR 97424
Lane County (541) 942-3939
SUSAN GRZESIAK
Counselor (Mental Health)
1345 BIRCH AVE
COTTAGE GROVE, OR 97424
Lane County (541) 942-3939
ROBERT H LEE
Counselor
1345 BIRCH AVE
COTTAGE GROVE, OR 97424
Lane County (541) 942-3939
PEARL ANN JOBE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1345 BIRCH AVE
COTTAGE GROVE, OR 97424
Lane County (541) 942-3939
GIOSANNA MAGNOLIA PROCHOT
Counselor (Mental Health)
1345 BIRCH AVE
COTTAGE GROVE, OR 97424
Lane County (541) 942-3939
JULIE A MCCLARY
Counselor (Mental Health)
1345 BIRCH AVE
COTTAGE GROVE, OR 97424
Lane County (541) 942-3939

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 Jacqueline Hall's NPI number?

The NPI number for Jacqueline Hall is 1508254517. It was assigned to this individual provider in the NPPES registry on December 27, 2014.

Where is Jacqueline Hall located?

Jacqueline Hall practices at 1345 Birch Ave, Cottage Grove, OR 97424. The listed phone number is (541) 942-3939.

What is Jacqueline Hall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacqueline Hall enrolled in Medicare?

Yes. Jacqueline Hall is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacqueline Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Hall reassigns Medicare benefits to 4 organizations: Hiv Alliance (Eugene, OR), Lane County Oregon (Springfield, OR), Lifeworks NW (Portland, OR) and Telecare Mental Health Services Of Washington, Inc (Vancouver, WA). 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 Jacqueline Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Hall accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jacqueline 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Hall was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.