JESSICA RENAE HALL (PA-C) – Dermatology Physician, NPI 1205433505

JESSICA RENAE HALL (PA-C) is a healthcare provider. based in Mc murray, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA064382 (PA). The NPI Number for JESSICA RENAE HALL (PA-C) is 1205433505

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA RENAE HALL (PA-C)
NPI
1205433505
Phone
(724) 260-5424
Address
3055 WASHINGTON RD STE 203
Enumeration Date
8 October 2020
Last Update Date
4 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7242605424
Graduation Year
2020 (6 years ago)
PAC ID
3779997507
Group Practice PAC ID
2163711920
Professional Enrollment ID
I20230706002608
Address ID
PA153173279MC3055XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for JESSICA RENAE HALL (PA-C)

  • 3055 WASHINGTON RD STE 203

    MC MURRAY, PA 153173279

    Phone: (724) 260-5424

    Fax: (724) 260-5425

    Type: Location

  • 201 BOUGAINVILLEA LOOP

    HONOLULU, HI 968181495

    Phone: (724) 317-6627

    Type: Mailing

  • 99-128 AIEA HEIGHTS DR STE 703

    AIEA, HI 967013978

    Phone: (808) 487-7938

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 89 Open Payments records for all available years, with a total value of $1,275.

Total Amount is formed as General ($1,275) + Research ($0) + Ownership ($0) = $1,275.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Janssen Biotech, Inc. ($618).

Total Amount

$1,275

General + Research + Ownership

Payments

89

Total payment records

General Amount

$1,275

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2023-07-06

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
I20230706002608IPhysician AssistantPATBD

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
17003Destruction of precancer skin growth, 2-14 growths18540$0
99213Established patient office or other outpatient visit, 20-29 minutes8880$0
17000Destruction of precancer skin growth, 1 growth6154$0
11102Biopsy of related skin growth, first growth4644$0
17110Destruction of skin growth, 1-14 growths4337$0
View full utilization report →

Insurance plans in this area (ZIP 15317)

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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: 2163711920View full group profile
NameSpecialtyState
Dermatology, Micrographic Dermatologic Surgery (Mds)PA
Physician AssistantPA

Reviews

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Frequently asked questions

How is JESSICA RENAE HALL (PA-C) identified in CMS data?
CMS-hosted NPPES data lists JESSICA RENAE HALL (PA-C) with NPI 1205433505.
Does CMS list JESSICA RENAE HALL (PA-C) as active?
Yes — JESSICA RENAE HALL (PA-C) is active in the NPI listing used on this page.
What is JESSICA RENAE HALL (PA-C)'s specialty?
The listing groups JESSICA RENAE HALL (PA-C) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does JESSICA RENAE HALL (PA-C) list a practice location?
Patients near Mc Murray, Pennsylvania may find JESSICA RENAE HALL (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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