MRS. MARY LYDIA HALL AGPCNP - NPI 1902366495 - Nurse Practitioner in Brandon, MS

Q: What is Mary Hall's NPI number?

The NPI number for Mary Hall is 1902366495. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Q: What is Mary Hall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Hall was last updated on June 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Mary Lydia Hall Agpcnp NPPES

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

MRS. MARY LYDIA HALL AGPCNP (NPI 1902366495) is an individual adult health provider in Brandon, Mississippi, licensed in Mississippi (903270) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902366495

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. MARY LYDIA HALLCredential: AGPCNP

Location Address501 AVALON WAY STE CBrandon, MS 39047-7500

Mailing Address911 Cedar Hill DrClinton, MS 39056-3701 · (601) 594-6335

Phone(601) 573-7012

Sole ProprietorYes

Enumeration DateMarch 21, 2019

Last NPPES UpdateJune 11, 20192 updates tracked since enumeration

✔ NPI 1902366495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MS · 903270

501 AVALON WAY STE C, Brandon, MS 39047

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Lydia Hall Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39047 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 7

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

MRS. BRITTANY CHANTRIECE BURAGE FNP-C

Nurse Practitioner (Family)