NICHOLAS ROBERT HALL PA
NPI 1548530827
Physician Assistant - Medical in South Boston, VA

Q: What is Nicholas Hall's NPI number?

The NPI number for Nicholas Hall is 1548530827. It was assigned to this individual provider in the NPPES registry on January 4, 2012.

Q: What is Nicholas Hall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Hall was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 04, 2012PECOS EnrolledAccepts Medicare Assignment

2210 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 575-5864 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicholas Robert Hall Pa NPPES

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

NICHOLAS ROBERT HALL PA (NPI 1548530827) is an individual medical provider in South Boston, Virginia and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with Sentara Halifax Regional Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1548530827

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameNICHOLAS ROBERT HALLCredential: PA

Location Address2210 WILBORN AVESouth Boston, VA 24592-1630

Mailing Address9400 Weathersfield DrBristow, VA 20136-1716 · (703) 973-2240

Phone(434) 575-5864

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJanuary 4, 2012

✔ NPI 1548530827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

2210 WILBORN AVE, South Boston, VA 24592

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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

Nicholas Robert Hall Pa 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 ID2163662958

PECOS Enrollment IDI20130917000711

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.

Hospital Affiliations CMS Care Compare

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

Sentara Halifax Regional Hospital

Acute Care Hospitals · South Boston, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490013

Location2204 Wilborn AvenueSouth Boston, VA 24592 · Halifax County

Emergency services

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims4,685 services$0.85 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers18 claims18 services$69.39 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers36 claims36 services$20.65 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$921.58 avg. paid by Medicare

Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar E0911

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$32.67 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers36 claims36 services$115.48 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

ALEXIS LEIGH COLEMAN PA

Physician Assistant (Medical)