MRS. ALESSANDRA MARIE BULLIS FNP-C
NPI 1093174930
Nurse Practitioner - Family in Cripple Creek, CO

Active since February 21, 2016PECOS Enrolled
88.22/100
CMS Quality Rating
412 N C ST, CRIPPLE CREEK, CO 80813(719) 776-4310(719) 776-4320 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 7, 2017 and 2 more (5 updates tracked since 2016).

About Mrs. Alessandra Marie Bullis Fnp-c NPPES

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

MRS. ALESSANDRA MARIE BULLIS FNP-C (NPI 1093174930) is an individual family provider in Cripple Creek, Colorado, licensed in Colorado (0177189) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093174930
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ALESSANDRA MARIE BULLISCredential: FNP-C
Location Address412 N C STCripple Creek, CO 80813
Mailing Address5799 Stetson Hills BlvdColorado Springs, CO 80917-4223 · (719) 471-2273 · Fax (719) 380-0228
Fax(719) 776-4320
Sole ProprietorNo
Enumeration DateFebruary 21, 2016
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPI 1093174930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CO · 0177189 Licensed in CO · 992190
412 N C ST, Cripple Creek, CO 80813

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Alessandra Marie Bullis Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80813 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$59.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
412 N C ST
CRIPPLE CREEK, CO 80813
Family Medicine
412 N C ST
CRIPPLE CREEK, CO 80813
Nurse Practitioner (School)
412 N C ST
CRIPPLE CREEK, CO 80813
Nurse Practitioner (Family)
412 N C ST
CRIPPLE CREEK, CO 80813
Family Medicine
412 N C ST
CRIPPLE CREEK, CO 80813
Nurse Practitioner (Family)
412 N C ST
CRIPPLE CREEK, CO 80813

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 Alessandra Bullis's NPI number?

The NPI number for Alessandra Bullis is 1093174930. It was assigned to this individual provider in the NPPES registry on February 21, 2016.

Where is Alessandra Bullis located?

Alessandra Bullis practices at 412 N C St, Cripple Creek, CO 80813. The listed phone number is (719) 776-4310.

What is Alessandra Bullis's specialty?

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

Is Alessandra Bullis enrolled in Medicare?

Yes. Alessandra Bullis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alessandra Bullis was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.