RAETTE DAWN HALL PA
NPI 1912191016
Physician Assistant - Medical in Sarasota, FL

Active since August 31, 2007PECOS Enrolled
3064 UNIVERSITY PKWY, SARASOTA, FL 34243(941) 500-3970(941) 377-4330 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2026, Jul 25, 2024, Dec 28, 2016 (3 updates tracked since 2016).

About Raette Dawn Hall Pa NPPES

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

RAETTE DAWN HALL PA (NPI 1912191016) is an individual medical provider in Sarasota, Florida, licensed in Florida (PA 9104287) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1912191016
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameRAETTE DAWN HALLCredential: PA
Location Address3064 UNIVERSITY PKWYSarasota, FL 34243-2502
Mailing Address3443 Recurve CirSarasota, FL 34240-8747 · (941) 504-7722 · Fax (941) 377-4330
Fax(941) 377-4330
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 31, 2007
Last NPPES UpdateApril 3, 20263 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
NPI 1912191016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA 9104287
3064 UNIVERSITY PKWY, Sarasota, FL 34243

Other Names 1

Former Name (1)Raette Dawn Moodie

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Raette Dawn Hall Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395830541
PECOS Enrollment IDI20071002000862
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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Manual wheelchair accessory, wheel braking system and lock, complete, each E2228
DME-Wheelchairs · category DD021N
1 supplier11 claims22 services$53.90 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$14.49 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Acupuncturist
3064 UNIVERSITY PKWY
SARASOTA, FL 34243
Acupuncturist
3064 UNIVERSITY PKWY
SARASOTA, FL 34243

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 Raette Hall's NPI number?

The NPI number for Raette Hall is 1912191016. It was assigned to this individual provider in the NPPES registry on August 31, 2007. The provider is also known as Raette Dawn Moodie.

Where is Raette Hall located?

Raette Hall practices at 3064 University Pkwy, Sarasota, FL 34243. The listed phone number is (941) 500-3970.

What is Raette Hall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Raette Hall enrolled in Medicare?

Yes. Raette Hall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raette Hall was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.