Individual provider Active NPI

Bridgette N Hull, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1487280483
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5379266121 Issued in KS
Practice address
1911 N Webb Rd
Wichita, KS 67206-3405
Phone
(316) 682-7546
Fax
(316) 682-7554
NPI assigned
Mar 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.026540 OH
Nurse Practitioner 363L00000X 5379266121 KS Primary

Addresses

Primary practice location

1911 N Webb Rd
Wichita, KS 67206-3405

Mailing address

1911 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 682-7546

Other practice location 1

9505 Montgomery Rd Ste 201
Cincinnati, OH 45242-7248
Phone (913) 985-9885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20221117002871 KS Practitioner - Nurse Practitioner 2264853837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology - Kansas, PAGroup PAC ID 3274008016, 7 clinicians
Wichita Dermatology LLCGroup PAC ID 7315360716, 7 clinicians

Practice addresses (Care Compare)

1911 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 682-7546

4013 N Ridge Rd
Suite 120
Wichita, KS 67205-8826
Phone (316) 682-7546

Merit-based Incentive Payment System (MIPS)

Final score
91.13 of 100Reported as group
Quality
89.77
Improvement activities
40
Cost
84.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5379266121KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Dermatology LLC Moeller Dermatology CurrentSince Nov 1, 2022 Accepting new patients

Locations

4013 N Ridge Rd
Ste 120
Wichita, KS 67205
Phone (316) 682-7546

1911 N Webb Rd
Wichita, KS 67206
Phone (316) 682-7546

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.

NPI Registry JSON

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1487280483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-682-7546",
            "fax_number": "316-682-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-682-7546",
            "fax_number": "316-682-7554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9505 Montgomery Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452427248",
            "country_code": "US",
            "telephone_number": "913-985-9885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULL",
        "first_name": "BRIDGETTE",
        "middle_name": "N",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.026540",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "5379266121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.