KIMBERLY A. HULLETT NP
NPI 1497794440
Nurse Practitioner - Acute Care in Peoria, AZ

Q: What is Kimberly Hullett's NPI number?

The NPI number for Kimberly Hullett is 1497794440. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Kimberly Hullett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Hullett was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 05, 2006PECOS Enrolled

83.61/100

CMS Quality Rating

13460 N 94TH DR STE J1, PEORIA, AZ 85381(623) 876-8816(623) 298-0168 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 1, 2023, Nov 8, 2022, May 17, 2018 (3 updates tracked since 2018).

On this page

About Kimberly A. Hullett Np NPPES

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

KIMBERLY A. HULLETT NP (NPI 1497794440) is an individual acute care provider in Peoria, Arizona, licensed in Arizona (AP2483) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497794440

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKIMBERLY A. HULLETTCredential: NP

Location Address13460 N 94TH DR STE J1Peoria, AZ 85381-4246

Mailing Address13460 N 94th Dr Ste J1Peoria, AZ 85381-4246 · (623) 876-8816 · Fax (623) 298-0168

Phone(623) 876-8816

Fax(623) 298-0168

Sole ProprietorNo

Enumeration DateJune 5, 2006

Last NPPES UpdateFebruary 1, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2023

✔ NPI 1497794440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in AZ · AP2483

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP2483 (AZ)

13460 N 94TH DR STE J1, Peoria, AZ 85381

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Other Identifiers 1

Medicaid153235AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly A. Hullett Np 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 85381 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.57

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 20

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

MOUSTAFA BANNA MD

Internal Medicine (Cardiovascular Disease)