KELLY TULL WHNP
NPI 1306398409
Nurse Practitioner - Women's Health in Fiskdale, MA

Active since October 25, 2016Opted out of Medicare · through May 25, 2028
22 NORTH DR, FISKDALE, MA 01518(812) 236-7743 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 6, 2025, Jul 10, 2020, Jul 2, 2020 and 2 more (5 updates tracked since 2016).

About Kelly Tull Whnp NPPES

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

KELLY TULL WHNP (NPI 1306398409) is an individual women's health provider in Fiskdale, Massachusetts, licensed in Massachusetts (RN2323729) and active in the NPI registry since October 2016. She has opted out of Medicare through May 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306398409
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKELLY TULLCredential: WHNP
Location Address22 NORTH DRFiskdale, MA 01518-1161
Mailing Address22 North DrFiskdale, MA 01518-1161 · (812) 236-7743
Sole ProprietorNo
Enumeration DateOctober 25, 2016
Last NPPES UpdateAugust 6, 20255 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1306398409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses Licensed in MA · RN2323729 Licensed in CT · 7658 Licensed in IN · 28185781A
22 NORTH DR, Fiskdale, MA 01518

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kelly Tull Whnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 25, 2026 through May 25, 2028.

Opt-Out Effective DateMay 25, 2026
Opt-Out In Effect ThroughMay 25, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
57 services57 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
23 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01518 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 Kelly Tull's NPI number?

The NPI number for Kelly Tull is 1306398409. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Where is Kelly Tull located?

Kelly Tull practices at 22 North Dr, Fiskdale, MA 01518. The listed phone number is (812) 236-7743.

What is Kelly Tull's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kelly Tull enrolled in Medicare?

No. Kelly Tull has opted out of Medicare through May 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kelly Tull accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelly Tull as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Tull was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.