PATRICIA HALL APRN
NPI 1770864746
Nurse Practitioner - Family in Lexington, KY

Active since September 06, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
245 FOUNTAIN CT FL 1, LEXINGTON, KY 40509(859) 218-2626 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patricia Hall Aprn NPPES

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

PATRICIA HALL APRN (NPI 1770864746) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3013830) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1770864746
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePATRICIA HALLCredential: APRN
Location Address245 FOUNTAIN CT FL 1Lexington, KY 40509-2792
Mailing Address256 N Main StManchester, CT 06042-2004 · (860) 696-2300 · Fax (860) 645-3216
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 6, 2011
Last NPPES UpdateJuly 11, 2022
NPPES CertifiedMay 19, 2022
NPI 1770864746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in KY · 3013830 Licensed in CT · 004783
245 FOUNTAIN CT FL 1, Lexington, KY 40509

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

Patricia Hall Aprn 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 ID7113198441
PECOS Enrollment IDI20220726003420
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 2

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.

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.
83 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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
Promoting Interoperability100
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.

Family Medicine
245 FOUNTAIN CT FL 1
LEXINGTON, KY 40509
Physician Assistant
245 FOUNTAIN CT FL 1
LEXINGTON, KY 40509
Nurse Practitioner (Family)
245 FOUNTAIN CT FL 1
LEXINGTON, KY 40509
Family Medicine
245 FOUNTAIN CT FL 1
LEXINGTON, KY 40509
Physician Assistant
245 FOUNTAIN CT FL 1
LEXINGTON, KY 40509

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 Patricia Hall's NPI number?

The NPI number for Patricia Hall is 1770864746. It was assigned to this individual provider in the NPPES registry on September 6, 2011.

Where is Patricia Hall located?

Patricia Hall practices at 245 Fountain Ct Fl 1, Lexington, KY 40509. The listed phone number is (859) 218-2626.

What is Patricia Hall's specialty?

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

Is Patricia Hall enrolled in Medicare?

Yes. Patricia 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 Patricia Hall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Patricia 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 Patricia Hall affiliated with any hospitals?

According to CMS data, Patricia Hall is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Hall was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.