ALYSIA RAE HALL – Acute Care Nurse Practitioner, NPI 1588399059

ALYSIA RAE HALL is a healthcare provider. based in Fort worth, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1086965 (TX). The NPI Number for ALYSIA RAE HALL is 1588399059

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ALYSIA RAE HALL
NPI
1588399059
Phone
(817) 423-4400
Address
2500 West Fwy Ste 200
Enumeration Date
19 July 2022
Last Update Date
27 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177538973
Graduation Year
2022 (4 years ago)
PAC ID
3779959689
Group Practice PAC ID
2860677341
Professional Enrollment ID
I20221018002020
Address ID
TX761025851FO2500XFWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ALYSIA RAE HALL

  • 2500 West Fwy Ste 200

    Fort Worth, TX 761025851

    Phone: (817) 423-4400

    Type: Location

  • 2732 FERDINAND

    GRAND PRAIRIE, TX 750545519

    Phone: (817) 706-0737

    Type: Mailing

  • 5200 HARRY HINES BLVD

    DALLAS, TX 752357709

    Phone: (214) 590-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $135.

Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($57).

Total Amount

$135

General + Research + Ownership

Payments

5

Total payment records

General Amount

$135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-10-18

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
I20221018002020INurse PractitionerTXTBD

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 76102)

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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: 2860677341View full group profile
NameSpecialtyState
-TX
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineTX
Interventional CardiologyTX
-TX
-TX

Reviews

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Frequently asked questions

What unique ID ties claims to ALYSIA RAE HALL?
NPI 1588399059 is assigned to ALYSIA RAE HALL under the national enumeration system.
Is ALYSIA RAE HALL's NPI currently valid?
The extract we use shows ALYSIA RAE HALL as active.
What kind of provider is ALYSIA RAE HALL?
The page reflects Acute Care Nurse Practitioner for ALYSIA RAE HALL. Clinical services aligned with this taxonomy classification.
Where is ALYSIA RAE HALL's primary listing?
We display Fort Worth, Texas because that is what the record indicates for ALYSIA RAE HALL.
Is ALYSIA RAE HALL a real provider?
This page reflects official NPPES data for NPI 1588399059. Always confirm identity and privileges with the practice and licensing boards.

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