MARLENE HALL
NPI 1942603584
Nurse Practitioner - Acute Care in Newark, NJ
About Marlene Hall NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARLENE HALL (NPI 1942603584) is an individual acute care provider in Newark, New Jersey, licensed in New Jersey (26NJ00519100) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Marlene 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.
Medicare Billing Reassignments
5Medicare enrollment records show Marlene Hall reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 1,913 clinicians in this Medicare group
Hackensack, NJ 07601
- Reassigned Medicare billing, New Jersey enrollment
- 110 clinicians in this Medicare group
New Brunswick, NJ 08901
- Reassigned Medicare billing, New Jersey enrollment
- 306 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
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 07108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Marlene Hall's NPI number?
The NPI number for Marlene Hall is 1942603584. It was assigned to this individual provider in the NPPES registry on September 26, 2014.
Where is Marlene Hall located?
Marlene Hall practices at 27 Ingraham Pl, Newark, NJ 07108. The listed phone number is (973) 518-4320.
What is Marlene Hall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Marlene Hall enrolled in Medicare?
Yes. Marlene 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 organizations bill Medicare for Marlene Hall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marlene Hall reassigns Medicare benefits to 5 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ), Rwjbh Observation Associates LLC (Livingston, NJ), Cogent Healthcare Of New Jersey, PC (Hackensack, NJ), Robert Wood Johnson Medical Associates (New Brunswick, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each 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 Marlene Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marlene Hall accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Marlene 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 Marlene Hall was last updated on September 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Marlene Hall · NPI 1942603584
Acute Care physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since September 26, 2014.
## Identity
- **NPI:** 1942603584 (Entity type: Individual)
- **Enumerated:** September 26, 2014
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 26NJ00519100 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 27 INGRAHAM PL, Newark, NJ 07108-1415
- **Phone:** (973) 518-4320
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ); Rwjbh Observation Associates LLC (NPI 1760095806, Livingston, NJ); Cogent Healthcare Of New Jersey, PC (NPI 1629304290, Hackensack, NJ); Robert Wood Johnson Medical Associates (NPI 1902848625, New Brunswick, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 26, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1942603584) · Data from the CMS NPPES public registry.