CAROL HALL CNP
NPI 1528115532
Nurse Practitioner in Cleveland, OH

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
9500 EUCLID AVE, CLEVELAND, OH 44195(800) 223-2273 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carol Hall Cnp NPPES

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

CAROL HALL CNP (NPI 1528115532) is an individual nurse practitioner in Cleveland, Ohio, licensed in Ohio (RN154873) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Lake Health Beachwood Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1528115532
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROL HALLCredential: CNP
Location Address9500 EUCLID AVECleveland, OH 44195-0001
Mailing Address6000 W Creek Rd, Suite 10Independence, OH 44131-2139 · (800) 223-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 4, 2007
Last NPPES UpdateApril 16, 2008
✔ NPI 1528115532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · RN154873
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
9500 EUCLID AVE, Cleveland, OH 44195

Other Identifiers 3

Medicare UPINQ73853OH
Medicaid2707806OH
Medicare PINHANP78981OH

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

Carol Hall Cnp 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 ID7719987965
PECOS Enrollment IDI20070111000391
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 Carol Hall reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 227 clinicians in this Medicare group
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
Vascular Surgery
20050 HARVARD AVE
Warrensville Heights, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 285 clinicians in this Medicare group
General Acute Care Hospital
25501 CHAGRIN BLVD
Beachwood, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 9 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.

Areas of Expertise CMS Part B claims

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients

Hospital Affiliations CMS Care Compare

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

Lake Health Beachwood Medical Center

Acute Care Hospitals · Beachwood, OH
OwnershipProprietary
CMS Certification Number360367
Location25501 Chagrin BlvdBeachwood, OH 44122 · Cuyahoga County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44195 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

Dietitian, Registered
9500 EUCLID AVE, M17
CLEVELAND, OH 44195
Urology (Urogynecology and Reconstructive Pelvic Surgery)
9500 EUCLID AVE, Q10-1
CLEVELAND, OH 44195
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Nurse Practitioner
9500 EUCLID AVE
CLEVELAND, OH 44195
Nurse Anesthetist, Certified Registered
9500 EUCLID AVE
CLEVELAND, OH 44195
Nurse Practitioner (Acute Care)
9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195
Nurse Practitioner (Critical Care Medicine)
9500 EUCLID AVE, G58
CLEVELAND, OH 44195
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195

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 Carol Hall's NPI number?

The NPI number for Carol Hall is 1528115532. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Carol Hall located?

Carol Hall practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (800) 223-2273.

What is Carol Hall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carol Hall enrolled in Medicare?

Yes. Carol 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 Carol Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Hall reassigns Medicare benefits to 4 organizations: University Hospitals Cleveland Medical Center (Cleveland, OH), University Hospitals Medical Group Inc (Cleveland, OH), Lake Hospital System, Inc. (Warrensville Heights, OH) and New Manna Clg, LLC (Beachwood, OH). 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 Carol Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Hall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Carol 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 Carol Hall affiliated with any hospitals?

According to CMS data, Carol Hall is affiliated with Lake Health Beachwood Medical Center.

When was this NPI record last updated?

The NPPES record for Carol Hall was last updated on April 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.