MRS. AUTUMN RHEA HALL (FNP-C) – Family Nurse Practitioner, NPI 1306396809
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for MRS. AUTUMN RHEA HALL (FNP-C)
100, North Walnut Creek Drive, Mansfield, Tarrant County, Texas, 76063, United States
MANSFIELD, TX 760638020
Phone: (817) 473-9473
Type: Location
12732, Breckenridge Court, Fort Worth, Tarrant County, Texas, 76177, United States
FORT WORTH, TX 761772710
Phone: (817) 681-2148
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 118 Open Payments records for all available years, with a total value of $2,121.
Total Amount is formed as General ($2,121) + Research ($0) + Ownership ($0) = $2,121.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($375).
Total Amount
$2,121
General + Research + Ownership
Payments
118
Total payment records
General Amount
$2,121
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $375 |
| AstraZeneca Pharmaceuticals LP | $276 |
| Astellas Pharma US Inc | $258 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $214 |
| ABBVIE INC. | $172 |
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: 2017-01-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170110003214 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 126 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 84 | 68 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 78 | 62 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 22 | 19 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 11 | 11 | $0 |
Insurance plans in this area (ZIP 76063)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Vascular Surgery | PA | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | TX | |
| Family Practice | TX |
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