MRS. TRACEY BULLARD FNP
NPI 1033463880
Nurse Practitioner - Family in Oak Grove, KY

Q: What is Tracey Bullard's NPI number?

The NPI number for Tracey Bullard is 1033463880. It was assigned to this individual provider in the NPPES registry on November 1, 2012.

Q: What is Tracey Bullard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Bullard was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 01, 2012PECOS EnrolledAccepts Medicare Assignment

13523 HERNDON OAK GROVE RD, OAK GROVE, KY 42262(270) 839-9697 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Dec 1, 2022 (2 updates tracked since 2022).

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About Mrs. Tracey Bullard Fnp NPPES

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

MRS. TRACEY BULLARD FNP (NPI 1033463880) is an individual family provider in Oak Grove, Kentucky, licensed in Kentucky (3007747) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and maintains a secondary practice location in Owensboro.

NPPES Registry Identity

NPI1033463880

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. TRACEY BULLARDCredential: FNP

Location Address13523 HERNDON OAK GROVE RDOak Grove, KY 42262-9369

Mailing Address13523 Herndon Oak Grove RdOak Grove, KY 42262-9369 · (270) 839-9697

Phone(270) 839-9697

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateNovember 1, 2012

Last NPPES UpdateMay 6, 20262 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1033463880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3007747

Also ListedClinical Nurse Specialist · EmergencyTaxonomy 364SE0003X · License 3007747 (KY)

13523 HERNDON OAK GROVE RD, Oak Grove, KY 42262

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Secondary Practice Location 1

Location 11201 Pleasant Valley RdOwensboro, KY 42303-9811 · Phone (270) 417-5911 · Fax (270) 417-6497

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tracey Bullard Fnp 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 ID6204072002

PECOS Enrollment IDI20130424000376

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

343 services289 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

51 services51 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180051

Location320 West 18th StreetHopkinsville, KY 42240 · Christian County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42262 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.

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 Tracey Bullard's NPI number?

The NPI number for Tracey Bullard is 1033463880. It was assigned to this individual provider in the NPPES registry on November 1, 2012.

Where is Tracey Bullard located?

Tracey Bullard practices at 13523 Herndon Oak Grove Rd, Oak Grove, KY 42262. The listed phone number is (270) 839-9697.

What is Tracey Bullard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tracey Bullard enrolled in Medicare?

Yes. Tracey Bullard 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.

Is Tracey Bullard affiliated with any hospitals?

According to CMS data, Tracey Bullard is affiliated with Jennie Stuart Medical Center.

When was this NPI record last updated?

The NPPES record for Tracey Bullard was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.