Jillian Amanda Hulse, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

77622 Issued in KS

Practice address

347 S Laura Ave
Wichita, KS 67211-1518

Phone

(316) 686-7117

Fax

(316) 686-2679

NPI assigned

May 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pawnee Mental Health Service IncGroup PAC ID 3870406820, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pawnee Mental Health Service, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manhattan, KS
  • NPI 1275580524
  Medicare reassignment Care Compare group NPD
• Center for Counseling and Consultation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Great Bend, KS
  • NPI 1104862549
  Medicare reassignment NPD
• DHHS,PHS,Naihs, Gallup Indian Medical Center

  • General Acute Care Hospital
  • Gallup, NM
  • NPI 1225002322

  TX

  Medicare reassignment NPD
• First Kansas Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Emporia, KS
  • NPI 1225847106

  Family

  NPD Authorized official
• Pawnee Mental Health Service, Inc.

  • Primary Care Clinic/Center
  • Manhattan, KS
  • NPI 1356139158
  NPD

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1891222865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 S LAURA AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111518",
            "telephone_number": "166-867-1173",
            "fax_number": "316-686-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 S LAURA AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111518",
            "telephone_number": "316-686-7117",
            "fax_number": "316-686-2679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2318 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144436",
            "country_code": "US",
            "telephone_number": "316-262-2415",
            "fax_number": "316-262-0318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULSE",
        "first_name": "JILLIAN",
        "middle_name": "AMANDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77622",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "77622",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "77622",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "77622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201156760B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Renae Hull, PTA
• Bridgette N Hull, DNP, APRN, FNP-C
• Kenneth L. Hull, M.D.
• Jon Gerard Hullings, D.D.S., M.S.
• Amy Hulse, APRN
• Mary Dorothy Humble, LMSW
• Ashley Humlicek, DDS
• Kyla Hummel
• Wendy Susan Hummell, LPC
• Andrea Humphreys, LSCSW

• Psychiatric/Mental Health Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.