Jennifer Bullard, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704260896 Issued in MI

Practice address

28508 Sunnydale Rd
Livonia, MI 48154

Phone

(734) 788-9884

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Care Team-Primary Care Providers PLLCGroup PAC ID 9133588346, 8 clinicians

Sage Medical Consultants PCGroup PAC ID 0547606402, 2 clinicians

Apollo Hospitalist GroupGroup PAC ID 5193194033, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFHEBA

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.

• Apollo Hospitalist Group

  • Hospitalist Physician
  • Garden City, MI
  • NPI 1548978794
  Medicare reassignment Care Compare group NPD
• Sage Medical Consultants PC

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1740047992

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• The Care Team-Primary Care Providers PLLC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1710699624
  Medicare reassignment Care Compare group NPD
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  MI

  Medicare reassignment NPD
• Apollo Family Health Services PC

  • Internal Medicine Physician
  • Garden City, MI
  • NPI 1891767281
  NPD (past)
• Trinity Home Health Services

  dba St. Joseph Mercy Hospice

  • Community Based Hospice Care Agency
  • Livonia, MI
  • NPI 1326005596
  NPD (past)
• Simmons Medical Group South Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1003381799
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1659827376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28508 SUNNYDALE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-788-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28508 SUNNYDALE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-788-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704260896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janell Bufkin
• Cortney Renee Bugar, LLMSW
• David Buggia
• Building Families First Community Organization
• Matthew Brooks Bulkley, MD
• James Mack Bumford, D.D.S.
• Beth Bunn, LCSW, LMSW, CCMSW
• Kyara Burch
• Kathleen Burcusel
• Heather Burger

• Nurse Practitioner in Livonia, MI
• Providers in Livonia, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.

Verify at the official NPI Registry.