TINA HALL
NPI 1578039707
Nurse Practitioner - Family in Mount Vernon, IL

Active since October 15, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4107 S WATER TOWER PL, MOUNT VERNON, IL 62864(618) 244-0031(618) 244-0056 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2019, Aug 15, 2019, Nov 19, 2018 and 1 more (4 updates tracked since 2018).

About Tina Hall NPPES

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

TINA HALL (NPI 1578039707) is an individual family provider in Mount Vernon, Illinois, licensed in Illinois (209.018461) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1578039707
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA HALL
Location Address4107 S WATER TOWER PLMount Vernon, IL 62864-6293
Mailing Address2253 N Flamingo LnScheller, IL 62883-3009 · (618) 315-1757
Fax(618) 244-0056
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 15, 2018
Last NPPES UpdateNovember 7, 20194 updates tracked since enumeration
NPI 1578039707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.018461
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.394076 (IL)
Also ListedDermatologyTaxonomy 207N00000X · License 209018461 (IL)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209018461 (IL)
4107 S WATER TOWER PL, Mount Vernon, IL 62864

Accepted 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

Tina Hall 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 ID4284970849
PECOS Enrollment IDI20240227004509
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 24

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,568 services332 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
559 services433 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.
447 services395 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.
331 services236 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
330 services284 patients
Membrane graft or membrane wrap, per square centimeter Q4205
A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.
327 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Dermatology
4107 S WATER TOWER PL
MOUNT VERNON, IL 62864
Nurse Practitioner (Family)
4107 S WATER TOWER PL
MOUNT VERNON, IL 62864
Dermatology
4107 S WATER TOWER PL
MOUNT VERNON, IL 62864
Physician Assistant (Medical)
4107 S WATER TOWER PL
MOUNT VERNON, IL 62864
Dermatology (Dermatopathology)
4107 S WATER TOWER PL
MOUNT VERNON, IL 62864

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 Tina Hall's NPI number?

The NPI number for Tina Hall is 1578039707. It was assigned to this individual provider in the NPPES registry on October 15, 2018.

Where is Tina Hall located?

Tina Hall practices at 4107 S Water Tower Pl, Mount Vernon, IL 62864. The listed phone number is (618) 244-0031.

What is Tina Hall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tina Hall enrolled in Medicare?

Yes. Tina 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.

What insurance does Tina Hall accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, AmeriHealth Caritas Next and Oscar Health Maintenance Organization of Florida and 1 other insurer list Tina 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 Tina Hall was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.