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

Timothy James Hall

Individual provider Family Nurse Practitioner · NPI 1679313605

Timothy James Hall is a Nurse Practitioner in Kettering, Ohio. Qualified in 2023, 3 years ago. Practices with Mend Health LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2024
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Practice location Address checks out

1050 Forrer Blvd Ste 250
Kettering, OH 45420-3640
Phone: (800) 986-4801
Fax: (937) 684-9990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0037300 (OH)

Record details

NPI number1679313605
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 28, 2024
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address1050 Forrer Blvd Ste 250, Kettering, OH 45420-3640

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mend Health Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kettering