Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Timothy Wayne Hall, AGACNP-BC, FNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1154761336

Timothy Wayne Hall, AGACNP-BC, FNP-BC is a Nurse Practitioner in Wyoming, Michigan. Qualified in 2013, 13 years ago. Practices with Advantage Health/Saint Mary's Medical Group, a 494-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone: (616) 252-7200
Fax: (616) 252-7830
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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 4704199433 (MI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 4704199433 (MI)

Record details

NPI number1154761336
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC , FNP-BC
Sole proprietorNo
NPI enumeratedJuly 2, 2013
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Advantage Health/Saint Mary'S Medical Group — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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