Jennifer C Bulcock, MD
Individual provider Active NPI Family Medicine Physician · Spring Hill, KS
NPI 1194023010 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1194023010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-41689 (KS)
- Practice address
- 22450 S Harrison St Ste 100
Spring Hill, KS 66083-8882 - Phone
- (913) 592-2720
- Fax
- (913) 592-2725
- NPI assigned
- Mar 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventhealth Ransom Memorial Inc
Shawnee Mission Medical Center Inc
Practice addresses (Care Compare)
1301 S Main St
Ottawa, KS 66067-3537
9100 W 74TH St
Ahmg Cardiology at Shawnee Mission
Merriam, KS 66204-4004
Phone (913) 676-2000
Hospital & facility affiliations
- Faith Home Healthcare, Inc
- Acg Hospice
- Miami County Medical Center
- Adventhealth South Overland Park, Inc
- Adventhealth Shawnee Mission
- Adventhealth Ottawa
- University of Kansas Health System Olathe Hospital
- Wellsville Manor
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190802002129 | KS | Practitioner - Family Practice | 1951638667 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-41689 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Mission Medical Center Inc | Family Medicine | Current |
Accepting new patients |
| Adventhealth Ransom Memorial, Inc. | Family Medicine | Current |
Accepting new patients |
| Adventhealth Ransom Memorial, Inc. | Current |
Accepting new patients | |
| Mystere Living & Healthcare, Inc. | Past | Accepting new patients | |
| Shawnee Mission Medical Center Inc | Past |
Accepting new patients |
Locations
7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938
1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367
1401 Baptiste Dr
Ste A
Paola, KS 66071
Phone (913) 294-2305
9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
22450 S Harrison St
Ste 100
Spring Hill, KS 66083
Phone (913) 592-2720
Interoperability endpoints
- jbulcock663387@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-41689 | KS | Yes |
Addresses
Primary practice location
22450 S Harrison St Ste 100
Spring Hill, KS 66083-8882
Mailing address
22450 S Harrison St Ste 100
Spring Hill, KS 66083-8882
Phone (913) 592-2720
Other practice location 1
424 Main St
Wellsville, KS 66092-8878
Phone (785) 883-4863
Other practice location 2
1401 Baptiste Dr Ste A
Paola, KS 66071-1888
Phone (913) 294-2305
Other providers in Spring Hill, KS
- Erin Michele Bennett
- Brooke Berry
- Blackhawk Holdings Operations NT-Hci LLC
- Jamie Blackim
- Courtney Adele Bloodgood
- Steven Frederick Burmaster
- Itzel Anahi Carranza
- Colonial Oaks at Spring Hill Property Company LLC
- Colonial Oaks Blackhawk LLC
- Angela Cronister
All providers in Spring Hill, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.