Shannon E Hull, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001238 Issued in IA

Practice address

502 Locust St
Allison, IA 50602

Phone

(319) 267-2759

Fax

(319) 267-2851

NPI assigned

Jan 4, 2006

Last updated

May 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waverly Health CenterGroup PAC ID 8820996762, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unitypoint at Home Home health agency, Waterloo, IA, CCN 167147
• Cedar Valley Hospice Hospice, Waterloo, IA, CCN 161504
• Waverly Health Center Hospital, Waverly, IA, CCN 161339
• Allen Hospital Hospital, Waterloo, IA, CCN 160110

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.hull@waverly.eclinicaldirectplus.com

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.

• Waverly Health Center

  • Family Medicine Physician
  • Waverly, IA
  • NPI 1598959371
  Medicare reassignment Care Compare group
• Waverly Health Center

  • Emergency Medicine Physician
  • Waverly, IA
  • NPI 1033282975

  Physician Assistant

  NPD
• Waverly Health Center

  dba Janesville Clinic

  • Rural Health Clinic/Center
  • Janesville, IA
  • NPI 1184094534
  NPD
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)
• Waverly Health Center

  • Critical Access Hospital
  • Waverly, IA
  • NPI 1447299953
  NPD (past)

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

• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1336231091
  Care Compare affiliation
• Cedar Valley Hospice, Inc.

  • Community Based Hospice Care Agency
  • Waterloo, IA
  • NPI 1730304619
  Care Compare affiliation
• Unitypoint at Home

  • Home Health Agency
  • Waterloo, IA
  • NPI 1154623460
  Care Compare affiliation
• Waverly Health Center

  • Critical Access Hospital
  • Waverly, IA
  • NPI 1447299953
  Care Compare affiliation

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1457339095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MASON WAY",
            "city": "SHELL ROCK",
            "state": "IA",
            "postal_code": "506701007",
            "telephone_number": "319-885-6530",
            "fax_number": "319-885-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 LOCUST ST",
            "city": "ALLISON",
            "state": "IA",
            "postal_code": "50602",
            "telephone_number": "319-267-2759",
            "fax_number": "319-267-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "SHANNON",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Allison (Allison-Bristow Ambulance Service)
• County of Butler (Butler County Public Health)
• County of Butler (Butler County Public Health)
• County Social Services
• Travis Donald Harbaugh, DDS
• Iowa Physicians Clinic Medical Foundation (Allison Family Practice)
• Joan Mackenzie Moad, RPH
• Randy Lee Moad, RPH
• Zachary Cass Moye
• North Butler Community School District

• Physician Assistant in Allison, IA
• Providers in Allison, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.

Verify at the official NPI Registry.