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

Shawn Hall, FNP

Individual provider General Acute Care Hospital · NPI 1720637093

Shawn Hall, FNP is a Nurse Practitioner in Tahlequah, Oklahoma. Qualified in 2019, 7 years ago. Practices with Northeastern Health System, a 104-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1400 E Downing St
Tahlequah, OK 74464-3324
Phone: (918) 453-2101
Fax: (918) 453-2103
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 105693 (OK)
General Acute Care Hospital Taxonomy 282N00000X · Licence 105693 (OK)

Record details

NPI number1720637093
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedSeptember 9, 2019
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northeastern Health System — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount