HULL DERMATOLOGY P.A.
NPI 1407082464
Clinic/Center - Medical Specialty in Rogers, AR
About Hull Dermatology P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HULL DERMATOLOGY P.A. (NPI 1407082464) is a healthcare organization registered as a medical specialty in Rogers, Arkansas and active in the NPI registry since June 2009. The organization holds 4 active CLIA laboratory certificates and lists Cheryl A Hull, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hull Dermatology P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Hull Dermatology P.A., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 4
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 04D2169731
Hull Dermatology · Bentonville, ARCertificate of Compliance 04D2166077
Hull Dermatology · Bella Vista, ARCertificate of Compliance 04D2164159
Hull Dermatology · Huntsville, ARCertificate of Compliance 04D1053093
Hull Dermatology, PA · Rogers, ARFrequently 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 Hull Dermatology P.A.'s NPI number?
The NPI number for Hull Dermatology P.A. is 1407082464. It was assigned to this organization in the NPPES registry on June 4, 2009.
Where is Hull Dermatology P.A. located?
Hull Dermatology P.A. is located at 500 S 52nd St, Rogers, AR 72758. The listed phone number is (479) 254-9662.
What is Hull Dermatology P.A.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Hull Dermatology P.A. enrolled in Medicare?
Yes. Hull Dermatology P.A. is registered in the Medicare PECOS enrollment system.
When is Hull Dermatology P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Hull Dermatology P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Hull Dermatology P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (4), General Practice (1) and Pathology (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hull Dermatology P.A. hold CLIA laboratory certificates?
Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Hull Dermatology P.A. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Hull Dermatology P.A. 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 Hull Dermatology P.A. was last updated on August 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Hull Dermatology P.a. · NPI 1407082464
Medical Specialty organization in Rogers, Arkansas. Organization record, active in the CMS NPPES registry since June 4, 2009.
## Identity
- **NPI:** 1407082464 (Entity type: Organization)
- **Enumerated:** June 4, 2009
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Cheryl Hull, PRESIDENT
## Practice location
- **Address:** 500 S 52ND ST, Rogers, AR 72758-8600
- **Phone:** (479) 254-9662 · **Fax:** (479) 254-9652
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (4), General Practice (1), Pathology (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2010
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407082464) · Data from the CMS NPPES public registry.