Active NPI
Cindy Elise Bullock, DPM
- Podiatrist
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO60058024
- Practice address
- 211 S 13TH St
Mount Vernon, WA 98274-4107 - Phone
- (360) 424-7041
- NPI assigned
- Jul 31, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO60058024 | WA | Primary |
Addresses
Primary practice location
211 S 13TH St
Mount Vernon, WA 98274-4107
Mailing address
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbullock63362@skagit.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 S Laventure Rd
Mount Vernon, WA 98274-6033
Phone (360) 424-2400
211 S 13TH St
Mount Vernon, WA 98274-4107
Phone (360) 814-5900
Hospital & facility affiliations
- Skagit Valley Hospital
- Island Hospital
- Peacehealth Peace Island Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 145 |
| Removal or shaving of skin growth | 189 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298 | NM | MD | Clinical Psychologist |
| PO60058024 | WA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Podiatrist | Current | Accepting new patients |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Locations
1017 20th St
Anacortes, WA 98221
Phone (360) 424-7041
1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
1500 Continental Pl
Mount Vernon, WA 98273
Phone (360) 424-7041
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- cindy.bullock.p15@direct.proliance.nextgenshare.com
- cbullock63362@skagit.direct-ci.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Multi-Specialty Clinic/Center
- Mount Vernon, WA
- NPI 1023051489
Podiatrist
-
- Anesthesiology Physician
- Arlington, WA
- NPI 1265791065
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
- Specialist
- Mount Vernon, WA
- NPI 1629012463
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Friday Harbor, WA
- NPI 1487917233
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
-
- General Acute Care Hospital
- Anacortes, WA
- NPI 1710913140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1598770927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S 13TH ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744107",
"telephone_number": "360-424-7041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLOCK",
"first_name": "CINDY",
"middle_name": "ELISE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO60058024",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbullock63362@skagit.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "211 S 13th St",
"city": "Mount Vernon",
"state": "WA",
"country_code": "US",
"postal_code": "982744107",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.