AMANDA HALL (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1073994919

AMANDA HALL (AGACNP-BC) is a healthcare provider. based in Chardon, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. RN.334791 (OH). The NPI Number for AMANDA HALL (AGACNP-BC) is 1073994919

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA HALL (AGACNP-BC)
NPI
1073994919
Phone
(440) 285-6000
Address
13207 RAVENNA RD
Enumeration Date
16 June 2015
Last Update Date
16 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
4486956380
Group Practice PAC ID
3072417534
Professional Enrollment ID
I20160108002559
Address ID
OH440302039CO158XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for AMANDA HALL (AGACNP-BC)

  • 13207 RAVENNA RD

    CHARDON, OH 440247032

    Phone: (440) 285-6000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: ABIOMED ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$21
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: 2016-01-08

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
I20160108002559INurse PractitionerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14077$0
99214Established patient office or other outpatient visit, 30-39 minutes7364$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6663$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
99213Established patient office or other outpatient visit, 20-29 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 44024)

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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: 3072417534View full group profile

Reviews

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Frequently asked questions

What is the standard ID for AMANDA HALL (AGACNP-BC) in the U.S.?
In the U.S., AMANDA HALL (AGACNP-BC) is identified by NPI 1073994919.
Should I treat AMANDA HALL (AGACNP-BC) as an active provider?
Patients and plans typically see AMANDA HALL (AGACNP-BC) as active in the national extract.
How should patients interpret AMANDA HALL (AGACNP-BC)'s specialty?
The extract shows Acute Care Nurse Practitioner for AMANDA HALL (AGACNP-BC). Clinical services aligned with this taxonomy classification.
Which community is linked to AMANDA HALL (AGACNP-BC)?
AMANDA HALL (AGACNP-BC) shows a connection to Chardon, Ohio in registry-derived data.
Who maintains AMANDA HALL (AGACNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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