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Active NPI 1629867528 Individual Practitioner Male Practitioner

Avery C Hall , PA-C

Physician Assistant • Ammon, ID

Professional Overview & Biography Verified Profile Summary

Avery Hall, PA-C is a registered healthcare professional specializing in Physician Assistant in Ammon, ID. Practice services are available at 3067 EAGLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3067 Eagle Dr

Ammon, ID 834061273

Telephone 2085224600
Fax 2085527521
Associated Practice Facility / Clinic
🏢 Idaho Falls Pediatrics Facility NPI 1366560971

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ammon, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
10 Specialists

Practicing in Ammon, ID (1261 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID 5871654

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1043204746

Doctor of Osteopathic Medicine (D.O.)

Kamlyn Harker , PA

Physician Assistant

NPI 1104581537

Physician Assistant

Katie Leask , RD, LD, IBCLC

Dietitian, Registered

NPI 1235780990

Registered Dietitian, Licensed Dietitian, International Board Certified Lactation Consultant

Dr. Mitchael Steorts , MD

Pediatrics - Adolescent Medicine

NPI 1255621793

Doctor of Medicine (M.D.)

David Buys , PA-C

Physician Assistant - Medical

NPI 1386743862

Physician Assistant (Certified)

Jacqueline Romrell , NP

Nurse Practitioner - Family

NPI 1447690235

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 06, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2025

Registered at 3067 EAGLE DR, AMMON, ID 834061273 (Tel: 2085224600)

📍
Updated Business Mailing Address May 06, 2025

Registered at 3067 EAGLE DR, AMMON, ID 834061273 (Tel: 2085224600)

👤
Provider Name / Credentials Updated May 06, 2025

Recorded as AVERY HALL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2025

Physician Assistant (License #5871654 in ID)

🟢
Initial NPI Registration & Enumeration May 06, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629867528
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2025
Last Update: May 06, 2025
Sole Proprietor: No

Mailing Address

3067 Eagle Dr

Ammon, ID 834061273

Phone: 2085224600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.