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SEAN GREGORY SCULLY
NPI 1265400899
Nurse Practitioner - Family in Ewa, HI

Active since March 09, 2006PECOS Enrolled
91-590 FARRINGTON HIGHWAY #300, EWA, HI 96707(808) 674-0269 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 4, 2020, Feb 14, 2019 (2 updates tracked since 2019).

About Sean Gregory Scully NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN GREGORY SCULLY (NPI 1265400899) is an individual family provider in Ewa, Hawaii, licensed in Hawaii (2565) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265400899
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSEAN GREGORY SCULLY
Location Address91-590 FARRINGTON HIGHWAY #300Ewa, HI 96707
Mailing Address1245 Kuala StPearl City, HI 96782-3900 · (808) 784-2273
Phone(808) 674-0269
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateJune 4, 20202 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
✔ NPI 1265400899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in HI · 2565

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Gregory Scully is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Scully's NPI number?

The NPI number for Sean Scully is 1265400899. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Sean Scully located?

Sean Scully practices at 91-590 Farrington Highway #300, Ewa, HI 96707. The listed phone number is (808) 674-0269.

What is Sean Scully's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sean Scully enrolled in Medicare?

Yes. Sean Scully is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sean Scully was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.