VICKIE M HALL (FNP) – Family Nurse Practitioner, NPI 1417975590

VICKIE M HALL (FNP) is a healthcare provider. based in Blue springs, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 142803 (MO). The NPI Number for VICKIE M HALL (FNP) is 1417975590

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
VICKIE M HALL (FNP)
NPI
1417975590
Phone
(816) 674-5754
Address
2404 SW 10TH ST
Enumeration Date
17 July 2006
Last Update Date
13 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8602300020
Graduation Year
2003 (23 years ago)
PAC ID
6204834625
Group Practice PAC ID
1153573902
Professional Enrollment ID
I20240219001284
Address ID
CT063741727PL584XXRDXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

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Provider Addresses for VICKIE M HALL (FNP)

  • 2404, Southwest 10th Street, Stonecreek, Blue Springs, Jackson County, Missouri, 64015, United States

    BLUE SPRINGS, MO 640156773

    Phone: (816) 674-5754

    Type: Location

  • 584 NORWICH RD STE 300

    PLAINFIELD, CT 063741727

    Phone: (860) 230-0020

    Fax: (860) 230-0021

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Novo Nordisk Inc ($118).

Total Amount

$140

General + Research + Ownership

Payments

2

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$118
Lilly USA, LLC$22
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: 2024-02-19

PECOS data refreshed: 2026-05-27

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
I20240219001284INurse PractitionerCTTBD

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 64015)

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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: 1153573902View full group profile

Reviews

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Frequently asked questions

Does VICKIE M HALL (FNP) have a public NPI I can cite?
Public records show VICKIE M HALL (FNP) under NPI 1417975590.
Is VICKIE M HALL (FNP)'s NPI status active today?
Active status means VICKIE M HALL (FNP)'s NPI record is not deactivated in the public file.
Which specialty label fits VICKIE M HALL (FNP)?
NPPES ties VICKIE M HALL (FNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit VICKIE M HALL (FNP) in Blue Springs, Missouri?
For routing, start with Blue Springs, Missouri for VICKIE M HALL (FNP), then verify phone and hours locally.
Who maintains VICKIE M HALL (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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