SOPHIA MARIE HALL APRN, FNP-C
NPI 1801348537
Nurse Practitioner - Family in Houston, TX

Active since October 28, 2016PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
6620 MAIN ST STE 1450, HOUSTON, TX 77030(832) 574-5161 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2018, Feb 16, 2018, Oct 28, 2016 (3 updates tracked since 2016).

About Sophia Marie Hall Aprn, Fnp-c NPPES

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

SOPHIA MARIE HALL APRN, FNP-C (NPI 1801348537) is an individual family provider in Houston, Texas, licensed in Texas (AP135909) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pearland, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1801348537
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOPHIA MARIE HALLCredential: APRN, FNP-C
Location Address6620 MAIN ST STE 1450Houston, TX 77030-2346
Mailing Address6620 Main St Ste 1450Houston, TX 77030-2346 · (832) 574-5161
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 28, 2016
Last NPPES UpdateApril 12, 20183 updates tracked since enumeration
NPI 1801348537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP135909
Also ListedRegistered NurseTaxonomy 163W00000X · License 770130 (TX)
6620 MAIN ST STE 1450, Houston, TX 77030

Secondary Practice Location 1

Location 11829 Emerald Trace LnPearland, TX 77584-6817 · Phone (832) 574-5161

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

Sophia Marie Hall Aprn, Fnp-c 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 ID7416218391
PECOS Enrollment IDI20180312000643
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

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.
98 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Gastroenterology)
6620 MAIN ST STE 1450
HOUSTON, TX 77030
Nurse Practitioner (Family)
6620 MAIN ST STE 1450
HOUSTON, TX 77030
Transplant Surgery
6620 MAIN ST STE 1450
HOUSTON, TX 77030
Nurse Practitioner (Acute Care)
6620 MAIN ST STE 1450
HOUSTON, TX 77030
Internal Medicine (Transplant Hepatology)
6620 MAIN ST STE 1450
HOUSTON, TX 77030
Nurse Practitioner (Acute Care)
6620 MAIN ST STE 1450
HOUSTON, TX 77030
Nurse Practitioner (Acute Care)
6620 MAIN ST STE 1450
HOUSTON, TX 77030
Internal Medicine (Transplant Hepatology)
6620 MAIN ST STE 1450
HOUSTON, TX 77030

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 Sophia Hall's NPI number?

The NPI number for Sophia Hall is 1801348537. It was assigned to this individual provider in the NPPES registry on October 28, 2016.

Where is Sophia Hall located?

Sophia Hall practices at 6620 Main St Ste 1450, Houston, TX 77030. The listed phone number is (832) 574-5161.

What is Sophia Hall's specialty?

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

Is Sophia Hall enrolled in Medicare?

Yes. Sophia 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 Sophia Hall accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Sophia 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 Sophia Hall was last updated on April 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.