Active NPI
Julayne Bullard, PA-C
- Physician Assistant
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008350
- Practice address
- 4401 Campus Ridge Dr Ste Ll110
Midland, MI 48640-6126 - Phone
- (989) 837-9400
- NPI assigned
- Sep 12, 2017
- Last updated
- Mar 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008350 | MI | Primary |
Addresses
Primary practice location
4401 Campus Ridge Dr Ste Ll110
Midland, MI 48640-6126
Mailing address
4401 Campus Ridge Dr Ste Ll110
Midland, MI 48640-6126
Phone (989) 837-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4401 N Campus RDG Dr
Midland, MI 48640-6112
Phone (989) 837-9200
4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250
602 Beech St
Clare, MI 48617-1466
Phone (989) 488-5420
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Hospitalist Physicians Medical Group of Michigan, PC | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4401 N Campus Ridge Dr
Ste LL110
Midland, MI 48640
Phone (989) 837-9400
4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
Interoperability endpoints
- jbullard137395@mymichiganhealth.midirect.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
-
dba University of Michigan Health-Sparrow Ionia
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
-
- Emergency Medicine Physician
- Saint Joseph, MI
- NPI 1407618234
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
-
dba Sparrow Medical Group Ionia
- Family Medicine Physician
- Ionia, MI
- NPI 1033271143
-
dba Sparrow Ionia Hospital Crna Services
- Certified Registered Nurse Anesthetist
- Ionia, MI
- NPI 1710900659
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
dba Family Practice Center
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1033638945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 CAMPUS RIDGE DR STE LL110",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406126",
"telephone_number": "989-837-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 CAMPUS RIDGE DR STE LL110",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406126",
"telephone_number": "989-837-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLARD",
"first_name": "JULAYNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-12",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601008350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.