NIDIA GUADALUPE HALL (CRNP) – Family Nurse Practitioner, NPI 1083308951

NIDIA GUADALUPE HALL (CRNP) is a healthcare provider. based in Salisbury, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R229786 (MD). The NPI Number for NIDIA GUADALUPE HALL (CRNP) is 1083308951

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
NIDIA GUADALUPE HALL (CRNP)
NPI
1083308951
Phone
(443) 513-1357
Address
6070 TARRY TOWN RD
Enumeration Date
5 June 2023
Last Update Date
5 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
7315380151
Group Practice PAC ID
7113340845
Professional Enrollment ID
I20240208000946
Address ID
MD218015422SA100XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

6,815 NURSE PRACTITIONER in MD

Provider Addresses for NIDIA GUADALUPE HALL (CRNP)

  • 6070 TARRY TOWN RD

    SALISBURY, MD 218012506

    Phone: (443) 513-1357

    Type: Mailing

  • 2425 N SALISBURY BLVD

    SALISBURY, MD 218012138

    Phone: (847) 719-6075

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,027.

Total Amount is formed as General ($1,027) + Research ($0) + Ownership ($0) = $1,027.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($507).

Total Amount

$1,027

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,027

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-08

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240208000946INurse PractitionerMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113340845View full group profile
NameSpecialtyState
Internal MedicineNJ
Nurse PractitionerDE
Physician AssistantMD
-VA
Internal MedicineNY
Physician AssistantNY
Internal MedicineMD
O B S T E T R I C S/ G Y N E C O L O G YUT
-MD
Physician AssistantMD

Reviews

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Frequently asked questions

What NPI should I save for NIDIA GUADALUPE HALL (CRNP)?
Save NPI 1083308951 if you need a stable reference for NIDIA GUADALUPE HALL (CRNP).
Is NIDIA GUADALUPE HALL (CRNP) active in the national directory?
NIDIA GUADALUPE HALL (CRNP)'s public NPI profile is in an active state.
What field does NIDIA GUADALUPE HALL (CRNP) work in?
You can think of NIDIA GUADALUPE HALL (CRNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for NIDIA GUADALUPE HALL (CRNP)?
The page summarizes Salisbury, Maryland for NIDIA GUADALUPE HALL (CRNP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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