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HULL DERMATOLOGY P.A.
NPI 1407082464
Clinic/Center - Medical Specialty in Rogers, AR

Active since June 04, 2009CLIA Certified · 4 labs
500 S 52ND ST, ROGERS, AR 72758(479) 254-9662(479) 254-9652 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1407082464
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameHULL DERMATOLOGY P.A.
Location Address500 S 52ND STRogers, AR 72758-8600
Mailing Address500 S 52nd StRogers, AR 72758-8600 · (479) 254-9662 · Fax (479) 254-9652
Phone(479) 254-9662
Fax(479) 254-9652
Organization SubpartNo
Authorized OfficialCheryl A HullPresident · (479) 254-9662
Enumeration DateJune 4, 2009
Last NPPES UpdateAugust 11, 2010
✔ NPI 1407082464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in AR · E3069
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
500 S 52ND ST, Rogers, AR 72758
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 04D2166077

Hull Dermatology · Bella Vista, AR
Active · expires Mar 18, 2028
CLIA Number04D2166077
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorDr. Cheryl A. Hull
Laboratory Phone(479) 254-9662
Laboratory LocationHull Dermatology9521 Sunset Dr, Bella Vista, AR 72715
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 04D2164159

Hull Dermatology · Huntsville, AR
Active · expires Mar 2, 2028
CLIA Number04D2164159
Laboratory TypeRemote Station Dermpath
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorDr. Cheryl A. Hull
Laboratory Phone(479) 254-9662
Laboratory LocationHull Dermatology896B Madison 3275, Huntsville, AR 72740
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 04D1053093

Hull Dermatology, PA · Rogers, AR
Active · expires May 14, 2027
CLIA Number04D1053093
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorCheryl A. Hull
Laboratory Phone(479) 254-9662
Laboratory LocationHull Dermatology, PA597 S Horsebarn Rd, Rogers, AR 72758
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 04D2169731

Hull Dermatology · Bentonville, AR
Active · expires Nov 12, 2026
CLIA Number04D2169731
Laboratory TypeRemote Work Station
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorDr. Cheryl A. Hull
Laboratory Phone(479) 254-9662
Laboratory LocationHull Dermatology6 Robson Way, Bentonville, AR 72712
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXA BLAIRE GRAND PA-C
Physician Assistant
500 S 52ND ST
ROGERS, AR 72758
Benton County (479) 254-9662
DR. CHERYL ANN HULL M.D.
Dermatology
500 S 52ND ST
ROGERS, AR 72758
Benton County (479) 254-9662
LAUREN HALL MCCASLIN MD
Dermatology
500 S 52ND ST
ROGERS, AR 72758
Benton County (479) 254-9662
MRS. SCARLET DENISE TRAVIS APN
Nurse Practitioner (Pediatrics)
500 S 52ND ST
ROGERS, AR 72758
Benton County (479) 254-9662
DR. MICHAEL ALAN GARONE JR. D.O.
Dermatology
500 S 52ND ST
ROGERS, AR 72758
Benton County (479) 254-9662
REBECCA S LUTHER APRN
Nurse Practitioner (Family)
500 S 52ND ST
ROGERS, AR 72758
Benton County (479) 254-9662

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 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.

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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers 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.