KELLY TULL (WHNP) – Women's Health Nurse Practitioner, NPI 1306398409

KELLY TULL (WHNP) is a healthcare provider. based in Fiskdale, Massachusetts. specializing in Women's Health Nurse Practitioner. They hold the professional credentials WHNP. They hold a License No. 7658 (CT). The NPI Number for KELLY TULL (WHNP) is 1306398409

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KELLY TULL (WHNP)
NPI
1306398409
Phone
(812) 236-7743
Address
22 NORTH DR
Enumeration Date
25 October 2016
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4137948484
Graduation Year
2016 (10 years ago)
PAC ID
3476834359
Group Practice PAC ID
1153392659
Professional Enrollment ID
I20200805002147
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:9State licenses:3Digital endpointsOther names

Provider Addresses for KELLY TULL (WHNP)

  • 22 NORTH DR

    FISKDALE, MA 015181161

    Phone: (812) 236-7743

    Type: Mailing

  • 202, Birnie Avenue, Brightwood, Springfield, Hampden County, Massachusetts, 01107, United States

    SPRINGFIELD, MA 011071109

    Phone: (413) 794-4744

    Fax: (413) 787-5273

    Type: Mailing

  • Main Street, Springfield Farm, Queniborough, Charnwood, Leicestershire, East Midlands, England, LE7 3DJ, United Kingdom

    SPRINGFIELD, MA 011071187

    Phone: (413) 794-8484

    Fax: (413) 794-8477

    Type: Location

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: 2020-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200805002147INurse PractitionerMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination4040$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1919$0
99213Established patient office or other outpatient visit, 20-29 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 01518)

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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: 1153392659View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)MA
O B S T E T R I C S/ G Y N E C O L O G YMA
Certified Nurse Midwife (Cnm)MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Nurse PractitionerMA
Certified Nurse Midwife (Cnm)MA
O B S T E T R I C S/ G Y N E C O L O G YMA
Nurse PractitionerNY
O B S T E T R I C S/ G Y N E C O L O G YMA

Reviews

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Frequently asked questions

Does KELLY TULL (WHNP) have a public NPI I can cite?
Public records show KELLY TULL (WHNP) under NPI 1306398409.
Quick check: is KELLY TULL (WHNP) active?
Public NPPES data shows KELLY TULL (WHNP) with an active NPI status right now.
How should patients interpret KELLY TULL (WHNP)'s specialty?
The extract shows Women's Health Nurse Practitioner for KELLY TULL (WHNP). Clinical services aligned with this taxonomy classification.
What geographic area is tied to KELLY TULL (WHNP)?
KELLY TULL (WHNP) is associated with Fiskdale, Massachusetts in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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