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SAMUEL HALLY NP
NPI 1982210795
Nurse Practitioner - Family in Middleton, ID

Active since September 17, 2020PECOS Enrolled
1346 CIMARRON CT, MIDDLETON, ID 83644(208) 695-8001 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samuel Hally Np NPPES

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

SAMUEL HALLY NP (NPI 1982210795) is an individual family provider in Middleton, Idaho, licensed in Idaho (65699) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982210795
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAMUEL HALLYCredential: NP
Location Address1346 CIMARRON CTMiddleton, ID 83644-5894
Mailing Address1346 Cimarron CtMiddleton, ID 83644-5894 · (208) 695-8001
Phone(208) 695-8001
Sole ProprietorNo
Enumeration DateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1982210795 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 ID · 65699
1346 CIMARRON CT, Middleton, ID 83644
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Hally Np 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Samuel Hally reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington Pac Services PC
281 mi
Hospitalist
1224 E WESTVIEW CT
Spokane, WA 99218
  • Reassigned Medicare billing, Washington enrollment
  • 105 clinicians in this Medicare group
NPI 1336678168 (865) 693-1000
Cs Pacs 3 Northwest, LLC
363 mi
Hospitalist
2508 7TH ST SE
Puyallup, WA 98374
  • Reassigned Medicare billing, Washington enrollment
  • 91 clinicians in this Medicare group
NPI 1811752066 (253) 841-6600
Wa Pacs 2 PC
373 mi
Hospitalist
4755 S 48TH ST
Tacoma, WA 98409
  • Reassigned Medicare billing, Washington enrollment
  • 104 clinicians in this Medicare group
NPI 1144706532 (865) 693-1000
Molina Healthcare Of Washington, Inc
389 mi
Family Medicine
21540 30TH DR SE STE 400
Bothell, WA 98021
  • Reassigned Medicare billing, Washington enrollment
  • 207 clinicians in this Medicare group
NPI 1659897163 (888) 562-5442

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

Areas of Expertise CMS Part B claims 8

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
611 services105 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
160 services26 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
156 services54 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
152 services109 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
109 services23 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
78 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83644 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers11 claims11 services$57.11 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers26 claims26 services$17.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$88.54 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
5 suppliers80 claims80 services$20.15 avg. paid by Medicare
Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$56.65 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers16 claims16 services$8.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Samuel Hally's NPI number?

The NPI number for Samuel Hally is 1982210795. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Samuel Hally located?

Samuel Hally practices at 1346 Cimarron Ct, Middleton, ID 83644. The listed phone number is (208) 695-8001.

What is Samuel Hally's specialty?

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

Is Samuel Hally enrolled in Medicare?

Yes. Samuel Hally is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samuel Hally's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Hally reassigns Medicare benefits to 4 organizations: Washington Pac Services PC (Spokane, WA), Cs Pacs 3 Northwest, LLC (Puyallup, WA), Wa Pacs 2 PC (Tacoma, WA) and Molina Healthcare Of Washington, Inc (Bothell, WA). 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 Samuel Hally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Hally accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Samuel Hally 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 Samuel Hally was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.