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

Mary Hall, PA-C

Individual provider Physician Assistant · NPI 1104285865

Mary Hall, PA-C is a Physician Assistant in Omaha, Nebraska. Graduated from University of Nebraska College of Medicine in 2015, 11 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
11
Trained at
University of Nebraska College of Medicine
Licensed in
IA, NE
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

16901 Lakeside Hills CT Attn: Hospital Medicine
Omaha, NE 68130-2318
Phone: (855) 524-4001
Fax: (402) 717-7340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2002 (NE)
Physician Assistant Taxonomy 363A00000X · Licence 081276 (IA)

Record details

NPI number1104285865
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 23, 2016
Last updated in NPPESSeptember 21, 2016
Mailing address7261 Mercy Rd, Omaha, NE 68124-2311

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Alegent Creighton Clinic — 947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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