CANDY HULL (PA-C) – Physician Assistant, NPI 1154750347

CANDY HULL (PA-C) is a healthcare provider. based in Redding, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9111022 (FL). The NPI Number for CANDY HULL (PA-C) is 1154750347

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
CANDY HULL (PA-C)
NPI
1154750347
Phone
(530) 226-7419
Address
2165 LARKSPUR LN
Enumeration Date
7 November 2013
Last Update Date
15 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5307224942
Graduation Year
2013 (13 years ago)
PAC ID
7113155599
Group Practice PAC ID
5395072490
Professional Enrollment ID
I20230411001597
Address ID
CA960012839RE2400XAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:12State licenses:3Digital endpointsOther names

13,243 PHYSICIAN ASSISTANT in NY

Provider Addresses for CANDY HULL (PA-C)

  • 2165 LARKSPUR LN

    REDDING, CA 960020600

    Phone: (530) 226-7419

    Fax: (530) 262-6849

    Type: Mailing

  • 535 MAIN ST STE 1

    OLEAN, NY 147601593

    Phone: (716) 372-0141

    Fax: (716) 372-6421

    Type: Mailing

  • 19012 SW 100th Pl

    Dunnellon, FL 344324267

    Phone: (814) 596-2373

    Type: Location

  • 1742 OREGON ST

    REDDING, CA 960011717

    Phone: (530) 646-7269

    Fax: (530) 262-6849

    Type: Location

  • 7562 W GULF TO LAKE HWY

    CRYSTAL RIVER, FL 344297840

    Phone: (814) 596-2373

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140109001241IPhysician AssistantNYTBD
I20150713000878IRegistered Dietitian Or Nutrition ProfessionalNYTBD
I20230411001597IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96002)

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Provider's Procedures

CANDY HULL (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTNY90670Pneumococcal vaccine for injection into muscle2323
PHYSICIAN ASSISTANTNY97802Medical nutrition therapy, assessment and intervention, each 15 minutes8322

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395072490View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Physician AssistantNC
Physician AssistantCA
Nurse PractitionerTX
Physician AssistantDE
Marriage And Family TherapistCA
Physician AssistantCA
Physician AssistantCA
Clinical Social WorkerCA
Physician AssistantCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for CANDY HULL (PA-C)?
CANDY HULL (PA-C) — NPI 1154750347 — is the standard way to identify this listing.
Can I rely on CANDY HULL (PA-C) being an active provider?
As of the registry snapshot, CANDY HULL (PA-C) is marked active.
What taxonomy line describes CANDY HULL (PA-C)?
For research purposes, treat CANDY HULL (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does CANDY HULL (PA-C) serve?
CANDY HULL (PA-C)'s listing highlights Redding, California; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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