NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jack E Hall, PA

Medical Physician Assistant in Pueblo West, CO · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619284239

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Registry record

Entity type Individual (Type 1)
Name Jack E Hall
Credential PA
Sex Male
Practice address 121 S Crescent Dr, Pueblo West, CO, 81007
Phone (719) 595-7575
Fax (719) 547-8368
Enumeration date Sep 2, 2010
Last updated in NPPES Feb 18, 2016

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 535 (CO) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier Type State Issuer
63254808 Medicaid CO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Jack Hall?
Jack Hall is registered in NPPES with the primary taxonomy of Medical Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-02-18.