Active NPI
Kelley Hull, PA-C
- Physician Assistant
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 030373
- Practice address
- 739 Irving Ave Ste 400
Syracuse, NY 13210-1655 - Phone
- (315) 234-6677
- NPI assigned
- Aug 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 030373 | NY | Primary |
Addresses
Primary practice location
739 Irving Ave Ste 400
Syracuse, NY 13210-1655
Mailing address
312 Hourglass LN
Baldwinsville, NY 13027-9681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5000 Campuswood Dr
Suite 200
East Syracuse, NY 13057-1268
Phone (315) 234-6677
5415 W Genesee St
Suite 203
Camillus, NY 13031-2162
Phone (315) 324-6677
739 Irving Ave
Suite 430
Syracuse, NY 13210-1653
Phone (315) 234-6677
Hospital & facility affiliations
- Crouse Hospital
- University Hospital S U N Y Health Science Center
- Wynn Hospital
- Samaritan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.09 of 100
- Quality
- 97.07
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Gastroenterological Associates PC | Current | Accepting new patients |
Locations
5000 Campuswood Dr
Ste 200
East Syracuse, NY 13057
8324 Oswego Rd
Ste 203
Liverpool, NY 13090
Phone (315) 641-1966
739 Irving Ave
Ste 430
Syracuse, NY 13210
739 Irving Ave
Ste 400
Syracuse, NY 13210
Phone (315) 234-4815
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- East Syracuse, NY
- NPI 1619947843
-
- Anesthesiology Physician
- East Syracuse, NY
- NPI 1417326661
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1184408965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 HOURGLASS LN",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130279681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 IRVING AVE STE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101655",
"telephone_number": "315-234-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "KELLEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-22",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "030373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.