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SHANNA JADE HALL
NPI 1790268530
Nurse Practitioner - Family in Grethel, KY

Active since September 07, 2018PECOS EnrolledAccepts Medicare Assignment
7629 KY ROUTE 979, GRETHEL, KY 41631(606) 587-2200 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shanna Jade Hall NPPES

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

SHANNA JADE HALL (NPI 1790268530) is an individual family provider in Grethel, Kentucky, licensed in Kentucky (3012657) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1790268530
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNA JADE HALL
Location Address7629 KY ROUTE 979Grethel, KY 41631-6304
Mailing Address1709 Ky Route 321Prestonsburg, KY 41653-9097 · (606) 886-8546
Phone(606) 587-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 7, 2018
✔ NPI 1790268530 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
License✔ Licensed in KY · 3012657
7629 KY ROUTE 979, Grethel, KY 41631
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Shanna Jade 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 ID9537410154
PECOS Enrollment IDI20180920002802
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 Reassignment

Medicare enrollment records show Shanna Hall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Big Sandy Health Care Inc
0.8 mi
Federally Qualified Health Center (FQHC)
7617 KY ROUTE 979
Grethel, KY 41631
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1831661404 (Kentucky), NPI 1972173136 (Kentucky)
  • 70 clinicians in this Medicare group
NPI 1154367191 (606) 587-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41631 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.

Other Providers at the Same Location NPPES 6

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

SHANA SLONE LCSW
Social Worker (Clinical)
7629 KY ROUTE 979
GRETHEL, KY 41631
Floyd County (606) 587-2200
TERESA OBRIEN-CONLEY LCSW CADC
Social Worker (Clinical)
7629 KY ROUTE 979
GRETHEL, KY 41631
Floyd County (606) 587-2200
CHRISTINA NEWSOME
Nurse Practitioner (Family)
7629 KY ROUTE 979
GRETHEL, KY 41631
Floyd County (606) 587-2200
MEGAN RACHELLE TACKETT APRN
Nurse Practitioner (Family)
7629 KY ROUTE 979
GRETHEL, KY 41631
Floyd County (606) 587-2200
MR. WILLIAM T CONNELLY LCSW
Social Worker (Clinical)
7629 KY ROUTE 979
GRETHEL, KY 41631
Floyd County (606) 587-2200
MR. JAGAN ANNABATHULA MD
Internal Medicine
7629 KY ROUTE 979
GRETHEL, KY 41631
Floyd County (606) 587-2200

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 Shanna Hall's NPI number?

The NPI number for Shanna Hall is 1790268530. It was assigned to this individual provider in the NPPES registry on September 7, 2018.

Where is Shanna Hall located?

Shanna Hall practices at 7629 Ky Route 979, Grethel, KY 41631. The listed phone number is (606) 587-2200.

What is Shanna Hall's specialty?

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

Is Shanna Hall enrolled in Medicare?

Yes. Shanna 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 organization bills Medicare for Shanna Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanna Hall reassigns Medicare benefits to Big Sandy Health Care Inc (Grethel, KY). The 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 Shanna Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanna Hall accept?

Health plans from Anthem Blue Cross and Blue Shield list Shanna 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 Shanna Hall was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.