MADISEN CLAIRE HALL
NPI 1689155764
Nurse Practitioner in Boerne, TX

Q: What is Madisen Hall's NPI number?

The NPI number for Madisen Hall is 1689155764. It was assigned to this individual provider in the NPPES registry on August 27, 2018. The provider is also known as Madisen Claire Wallace.

Q: What is Madisen Hall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madisen Hall was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 August 27, 2018PECOS EnrolledAccepts Medicare Assignment

113 PLEASANT VALLEY DR STE 210, BOERNE, TX 78006(830) 267-4575(830) 267-4575 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2026, Nov 19, 2020, Aug 27, 2018 (3 updates tracked since 2018).

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About Madisen Claire Hall NPPES

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

MADISEN CLAIRE HALL (NPI 1689155764) is an individual nurse practitioner in Boerne, Texas, licensed in Texas (1017389) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689155764

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMADISEN CLAIRE HALL

Location Address113 PLEASANT VALLEY DR STE 210Boerne, TX 78006-5683

Mailing Address113 Pleasant Valley Dr Ste 210Boerne, TX 78006-5683 · (830) 267-4575 · Fax (830) 267-4575

Phone(830) 267-4575

Fax(830) 267-4575

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 27, 2018

Last NPPES UpdateMay 1, 20263 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1689155764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in TX · 1017389✔ Licensed in WA · PENDING

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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1017389 (TX)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 1017389 (TX)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1017389 (TX)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License NUR-APRN-LIC-248890 (MT)

113 PLEASANT VALLEY DR STE 210, Boerne, TX 78006

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Other Names 1

Former Name (1)Madisen Claire Wallace

Secondary Practice Locations 2

Location 117 Old San Antonio Rd Ste 202Boerne, TX 78006-3414 · Phone (830) 214-7714 · Fax (830) 214-7714

Location 27411 N Nevada StSpokane, WA 99208-5518 · Phone (509) 489-2273

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Madisen Claire 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 ID547508525

PECOS Enrollment IDI20201123003395, I20221214003069, I20221216002659, I20250122001434

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 10

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

197 services90 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

186 services83 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

172 services63 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

126 services17 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

124 services20 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

122 services122 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78006 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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