Individual provider Active NPI

Virginia Hull, PA

  • Physician Assistant
  • Princeton, WV
National Provider Identifier
1013347392
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004423 Issued in VA
Practice address
900 Stafford Dr
Princeton, WV 24740-2405
Phone
(304) 431-2600
NPI assigned
Nov 22, 2013
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110004423 VA Primary

Addresses

Primary practice location

900 Stafford Dr
Princeton, WV 24740-2405

Mailing address

900 Stafford Dr
Princeton, WV 24740-2405
Phone (304) 320-4760

Other identifiers 5

IdentifierTypeStateIssuer
1013347392MedicaidVA
261083931OtherTAX ID
DN2980OtherGROUP PTAN
C10361OtherGROUP ORGANIZATION PTAN
P01260765OtherVAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160406001391 WV Practitioner - Physician Assistant 2567691397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Joseph Recovery Center, LLCGroup PAC ID 0042548000, 12 clinicians

Practice addresses (Care Compare)

1073 Arbuckle Rd
Summersville, WV 26651-1745
Phone (304) 362-0295

1824 Murdoch Ave
BLDG C
Parkersburg, WV 26101-3230
Phone (304) 916-1881

1824 Murdoch Ave BLDG C
Parkersburg, WV 26101-3230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110004423VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Medical Group, LLC CurrentSince Feb 25, 2026 Accepting new patients
Hull Family Medicine, PLLC CurrentSince May 30, 2026 Accepting new patients
Mid-Atlantic Eldercare, PLLC Past Accepting new patients

Locations

1824 Murdoch Ave
Bldg C
Parkersburg, WV 26101
Phone (304) 885-7152

900 Stafford Dr
Princeton, WV 24740
Phone (304) 320-4760

1073 Arbuckle Rd
Summersville, WV 26651
Phone (304) 244-1453

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1013347392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STAFFORD DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402405",
            "telephone_number": "304-320-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STAFFORD DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402405",
            "telephone_number": "304-431-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "VIRGINIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013347392",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "261083931",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "DN2980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ORGANIZATION PTAN",
            "identifier": "C10361",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "P01260765",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.