Marcelle Bulla
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Verona, WI
NPI 1346037348 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1346037348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 100 N Nine Mound Rd
Verona, WI 53593-1032 - Phone
- (608) 845-9531
- NPI assigned
- Apr 22, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20250627002623 | WI | Order and Referring Only - Family Practice |
6800309477 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
100 N Nine Mound Rd
Verona, WI 53593-1032
Mailing address
1100 Delaplaine CT
Madison, WI 53715-1840
Phone (608) 263-4550
Other names
- Marcie Bulla
Other providers in Verona, WI
- Charlyne Gold Bruce
- Caitlin Christine Brunner
- Arden Daniel Bubula
- Beste Zohre Bucher
- Whitney Theresa Buesser
- Andrea Burgett
- Samuel Lerush Butler
- Bradley Byce
- Karim Cabral
- Adria Cannon
All providers in Verona, WI · Student in an Organized Health Care Education/Training Program in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.