Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Hall, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1073994919

Amanda Hall, AGACNP-BC is a Nurse Practitioner in Chardon, Ohio. Qualified in 2015, 11 years ago. Practices with University Primary Care Practices Inc, a 1,073-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015

Practice location Address checks out

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone: (440) 285-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN.334791 (OH)

Record details

NPI number1073994919
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJune 16, 2015
Last updated in NPPESJune 16, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Primary Care Practices Inc — 1073 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Chardon