Individual provider Active NPI

Cheryl Ann Hull, M.D.

  • Dermatology Physician
  • Rogers, AR
National Provider Identifier
1124081849
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E3069 Issued in AR
Practice address
500 S 52ND St
Rogers, AR 72758-8600
Phone
(479) 254-9662
Fax
(479) 254-9652
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X E3069 AR Primary
Dermatology Physician 207N00000X BH7561409 AR

Addresses

Primary practice location

500 S 52ND St
Rogers, AR 72758-8600

Mailing address

500 S 52ND St
Rogers, AR 72758-8600
Phone (479) 254-9662

Other identifiers 1

IdentifierTypeStateIssuer
158407001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040717000307 AR Practitioner - Dermatology 9931188497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arkansas College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hull Dermatology P.a.Group PAC ID 1759433881, 9 clinicians

Practice addresses (Care Compare)

500 S 52ND St
Rogers, AR 72758-8600
Phone (479) 254-9662

Hospital & facility affiliations

  • Mercy Hospital Berryville Hospital, Berryville, AR, CCN 041329

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as group
Quality
95
Promoting interoperability
96
Improvement activities
40
Cost
92.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision65
Removal of skin lesions1295
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E3069ARMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hull Dermatology P.a. CurrentSince May 12, 2009 Accepting new patients

Locations

9521 Sunset Dr
Bella Vista, AR 72715

597 S Horsebarn Rd
Rogers, AR 72758

500 S 52nd St
Rogers, AR 72758
Phone (479) 254-9662

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCIBAA

Organizations & group practices 1

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1124081849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588600",
            "telephone_number": "479-254-9662",
            "fax_number": "479-254-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588600",
            "telephone_number": "479-254-9662",
            "fax_number": "479-254-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AR",
            "license": "E3069",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AR",
            "license": "BH7561409",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158407001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.