NIKEEA BULLOCK APRN
NPI 1003799271
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Active since July 28, 2025PECOS EnrolledAccepts Medicare Assignment
3015 WILSON AVE, LOUISVILLE, KY 40211(502) 774-4401 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nikeea Bullock Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKEEA BULLOCK APRN (NPI 1003799271) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (4024499) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003799271
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNIKEEA BULLOCKCredential: APRN
Location Address3015 WILSON AVELouisville, KY 40211-1969
Mailing Address3015 Wilson AveLouisville, KY 40211-1969
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 28, 2025
NPPES CertifiedJuly 27, 2025
✔ NPI 1003799271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4024499
3015 WILSON AVE, Louisville, KY 40211

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nikeea Bullock Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678032828
PECOS Enrollment IDI20260827003047
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nikeea Bullock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
3015 WILSON AVE
Louisville, KY 40211
  • Reassigned Medicare billing, Kentucky enrollment
  • 22 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
3015 WILSON AVE
LOUISVILLE, KY 40211
Family Medicine (Adult Medicine)
3015 WILSON AVE
LOUISVILLE, KY 40211
Dentist (General Practice)
3015 WILSON AVE
LOUISVILLE, KY 40211
Dentist (General Practice)
3015 WILSON AVE
LOUISVILLE, KY 40211
Nurse Practitioner (Family)
3015 WILSON AVE
LOUISVILLE, KY 40211
Nurse Practitioner (Family)
3015 WILSON AVE
LOUISVILLE, KY 40211
Pharmacist
3015 WILSON AVE
LOUISVILLE, KY 40211
Nurse Practitioner (Women's Health)
3015 WILSON AVE
LOUISVILLE, KY 40211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nikeea Bullock's NPI number?

The NPI number for Nikeea Bullock is 1003799271. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Nikeea Bullock located?

Nikeea Bullock practices at 3015 Wilson Ave, Louisville, KY 40211. The listed phone number is (502) 774-4401.

What is Nikeea Bullock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nikeea Bullock enrolled in Medicare?

Yes. Nikeea Bullock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nikeea Bullock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikeea Bullock reassigns Medicare benefits to Park Duvalle Community Health Center, Inc. (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nikeea Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikeea Bullock accept?

Health plans from Anthem Blue Cross and Blue Shield list Nikeea Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nikeea Bullock was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.