Individual provider Active NPI

Christina McCartney Bulluck, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Nashville, NC
National Provider Identifier
1326645649
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
165544 Issued in NC
Practice address
102 S Eastpointe Ave
Nashville, NC 27856-1849
Phone
(252) 459-4012
NPI assigned
Oct 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 165544 NC Primary

Addresses

Primary practice location

102 S Eastpointe Ave
Nashville, NC 27856-1849

Mailing address

PO Box 7200
Rocky Mount, NC 27804-0200
Phone (252) 937-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210315000693 NC Practitioner - Nurse Practitioner 7416363627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boice-Willis Clinic PAGroup PAC ID 0143122382, 58 clinicians
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

102 S Eastpointe Ave
Nashville, NC 27856-1849
Phone (252) 459-4012

315 Greenville Blvd SE
Suite 100
Greenville, NC 27858-5733
Phone (252) 917-5621

Hospital & facility affiliations

  • Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
165544NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boice-Willis Clinic, PA CurrentSince Apr 10, 2023 Accepting new patients
Boice-Willis Clinic PA CurrentSince Apr 10, 2023 Accepting new patients

Locations

102 S Eastpointe Ave
Nashville, NC 27856
Phone (252) 459-4012

901 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0200

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

3221 Zebulon Rd
Rocky Mount, NC 27804

921 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0300

Interoperability endpoints

  • Direct secure messaging: christina.bulluck@bwc.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1326645649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7200",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040200",
            "telephone_number": "252-937-0200",
            "fax_number": "252-451-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S EASTPOINTE AVE",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561849",
            "telephone_number": "252-459-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLUCK",
        "first_name": "CHRISTINA",
        "middle_name": "MCCARTNEY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "165544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, NC

Sources for this page

Verify at the official NPI Registry.