NPIMap

Individual provider Active NPI

Jennifer C Bulcock, MD

  • Family Medicine Physician
  • Spring Hill, KS
National Provider Identifier
1194023010
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-41689 Issued in 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
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-41689 KS Primary

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

1401 Baptiste Dr Ste A
Paola, KS 66071-1888
Phone (913) 294-2305

Other practice location 2

424 Main St
Wellsville, KS 66092-8878
Phone (785) 883-4863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190802002129 KS Practitioner - Family Practice 1951638667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 4486996907, 40 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-41689KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Ransom Memorial, Inc. Family Medicine CurrentSince May 20, 2024 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince May 20, 2024 Accepting new patients
Shawnee Mission Medical Center Inc Family Medicine CurrentSince Jan 3, 2022 Accepting new patients
Shawnee Mission Medical Center Inc PastSince May 4, 2025 Accepting new patients
Mystere Living & Healthcare, 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

  • Direct secure messaging: jbulcock663387@adventhealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1194023010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22450 S HARRISON ST STE 100",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660838882",
            "telephone_number": "913-592-2720",
            "fax_number": "913-592-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22450 S HARRISON ST STE 100",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660838882",
            "telephone_number": "913-592-2720",
            "fax_number": "913-592-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Baptiste Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Paola",
            "state": "KS",
            "postal_code": "660711888",
            "country_code": "US",
            "telephone_number": "913-294-2305",
            "fax_number": "913-294-5403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Main St",
            "address_purpose": "LOCATION",
            "city": "Wellsville",
            "state": "KS",
            "postal_code": "660928878",
            "country_code": "US",
            "telephone_number": "785-883-4863",
            "fax_number": "785-883-4038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULCOCK",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-41689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, KS

Sources for this page

Verify at the official NPI Registry.