Individual provider Active NPI

Sean Kelly Hull, PA-C

  • Physician Assistant
  • Salina, KS
National Provider Identifier
1487761862
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00676 Issued in KS
Practice address
828 Elmhurst Blvd
Salina, KS 67401-7406
Phone
(785) 827-2500
Fax
(785) 827-2515
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 15-00676 KS Primary

Addresses

Primary practice location

828 Elmhurst Blvd
Salina, KS 67401-7406

Mailing address

9300 E 29TH St N Ste 310
Wichita, KS 67226-2160
Phone (316) 612-1833

Other practice location 1

1000 Hospital Dr Ste 200
McPherson, KS 67460-2326
Phone (785) 827-2500

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
I20070831000672 KS Practitioner - Physician Assistant 0042303372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Dermatology and Skin Cancer Center, PAGroup PAC ID 1951388289, 31 clinicians

Practice addresses (Care Compare)

1000 Hospital Dr
Suite 401
McPherson, KS 67460-2326
Phone (785) 827-2500

828 Elmhurst Blvd
Salina, KS 67401-7406
Phone (785) 827-2500

Hospital & facility affiliations

  • Salina Regional Health Center Hospital, Salina, KS, CCN 170012

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-00676KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scott E Manthei PC LTD Past Accepting new patients
Manhattan Dermatology, PA PastSince Apr 21, 2021 Accepting new patients

Organizations & group practices 3

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1487761862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262160",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 ELMHURST BLVD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017406",
            "telephone_number": "785-827-2500",
            "fax_number": "785-827-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Hospital Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "McPherson",
            "state": "KS",
            "postal_code": "674602326",
            "country_code": "US",
            "telephone_number": "785-827-2500",
            "fax_number": "785-827-2515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULL",
        "first_name": "SEAN",
        "middle_name": "KELLY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.