Nidia Guadalupe Hall, CRNP - Medicare Nurse Practitioner in Salisbury, MD

Nidia Guadalupe Hall, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Salisbury, Maryland. Her current practice location is 2425 N Salisbury Blvd, Salisbury, Maryland. You can reach out to her office (for appointments etc.) via phone at (847) 719-6075.

Nidia Guadalupe Hall is licensed to practice in Maryland (license number R229786) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083308951.

Contact Information

Nidia Guadalupe Hall, CRNP
2425 N Salisbury Blvd,
Salisbury, MD 21801-2138
(847) 719-6075
Not Available



Provider's Profile

Full NameNidia Guadalupe Hall
GenderFemale
SpecialityNurse Practitioner - Family
Location2425 N Salisbury Blvd, Salisbury, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083308951
  • Provider Enumeration Date: 06/05/2023
  • Last Update Date: 06/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315380151
  • Enrollment ID: I20240208000946

Medical Identifiers

Medical identifiers for Nidia Guadalupe Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083308951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R229786 (Maryland)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nidia Guadalupe Hall allows following entities to bill medicare on her behalf.
Entity NameTidalhealth Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619504735
PECOS PAC ID: 7113340845
Enrollment ID: O20200714000286

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nidia Guadalupe Hall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nidia Guadalupe Hall, CRNP
6070 Tarry Town Rd,
Salisbury, MD 21801-2506

Ph: (443) 513-1357
Nidia Guadalupe Hall, CRNP
2425 N Salisbury Blvd,
Salisbury, MD 21801-2138

Ph: (847) 719-6075

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› Verified 5 days ago


Nurse Practitioner Nurses in Salisbury, MD

Iris Harrington Gehring, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1346 Belmont Ave Ste 602, Salisbury, MD 21804
Phone: 443-978-7317    Fax: 443-736-4080
Mrs. Leslie Oliver, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 106 Milford St Ste 503, Salisbury, MD 21804
Phone: 443-672-2600    
Kari Ann Cheezum, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2425 N Salisbury Blvd, Salisbury, MD 21801
Phone: 877-222-4934    
Ms. Melissa A Bennett, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 600 Glen Ave Ste 104, Salisbury, MD 21804
Phone: 410-543-9111    
Myrna Kay Lehner, C.P.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 106 Milford St, Ste 201, Salisbury, MD 21804
Phone: 410-543-1952    Fax: 410-543-8497
Brenda Martin, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 E Carroll St, Salisbury, MD 21801
Phone: 410-543-7531    Fax: 410-543-4722
Donald E. Clayton, CRNP-F
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1665 Woodbrooke Dr, Salisbury, MD 21804
Phone: 410-546-6650    Fax: 410-546-2656

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