Individual provider

Petrel Martin-hall, NP

Family Nurse Practitioner Medicare enrolled

Petrel Martin-hall, NP is a Family Nurse Practitioner in Dos Palos, CA, registered under NPI 1679058911.

Getting there

The practice address on file is 1405 CALIFORNIA AVE, Dos Palos, CA 93620. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1405 CALIFORNIA AVE, Dos Palos, CA 93620 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
95035482 CA Family Nurse Practitioner primary
R211887 MD Family Nurse Practitioner

Licences are recorded in 2 states: CA, MD. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
3678805702

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Maryland I20191023000228 Practitioner - Nurse Practitioner
California I20250626003108 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 2 separate enrolment records across 2 states (MD, CA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: California and Maryland. The practice address on file is in Dos Palos, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
95035482
Specialty
Family Nurse Practitioner
Verify with the CA board →
MD Maryland
Licence
R211887
Specialty
Family Nurse Practitioner
Verify with the MD board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family 95035482 CA primary
363LF0000X Family Nurse Practitioner Family R211887 MD

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1679058911 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 2, 2018
Last updatedJun 25, 2025
StatusActive
Sole proprietorNo
CredentialNP
Practice address 1405 CALIFORNIA AVE
Dos Palos, CA 93620
(209) 722-4842
Mailing address 1001 PINE HEIGHTS AVE STE 304
Baltimore, MD 21229
Other identifiers 222826500 · Medicaid (MD)
This record was updated on Jun 25, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1679058911 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 7 9 0 5 8 9 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 5 9 0 5 7 9 2

Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1679058911?
NPI 1679058911 is the National Provider Identifier assigned to Petrel Martin-hall, NP in Dos Palos, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Petrel Martin-hall, NP?
The phone number on file with NPPES is (209) 722-4842, last updated Jun 25, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Petrel Martin-hall, NP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1679058911 a valid number?
Yes. 1679058911 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.