CONSTANCE R BULLOCK FNP-C
NPI 1104306620
Nurse Practitioner - Family in Indianapolis, IN
About Constance R Bullock Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONSTANCE R BULLOCK FNP-C (NPI 1104306620) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (F07180086) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Constance R Bullock Fnp-c 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.
Medicare Billing Reassignments
4Medicare enrollment records show Constance Bullock reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46240
- Reassigned Medicare billing, Indiana enrollment
- 101 clinicians in this Medicare group
Indianapolis, IN 46256
- Reassigned Medicare billing, Indiana enrollment
- 19 clinicians in this Medicare group
Bremen, IN 46506
- Reassigned Medicare billing, Indiana enrollment
- 87 clinicians in this Medicare group
Middle River, MD 21220
- Reassigned Medicare billing, Indiana enrollment
- 13 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.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Constance Bullock's NPI number?
The NPI number for Constance Bullock is 1104306620. It was assigned to this individual provider in the NPPES registry on August 14, 2018.
Where is Constance Bullock located?
Constance Bullock practices at 6440 W 34th St, Indianapolis, IN 46224. The listed phone number is (317) 293-4930.
What is Constance Bullock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Constance Bullock enrolled in Medicare?
Yes. Constance 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 organizations bill Medicare for Constance Bullock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Constance Bullock reassigns Medicare benefits to 4 organizations: Onhealthcare LLC (Indianapolis, IN), Mid-South Home Care Services, LLC (Indianapolis, IN), Aims, LLC (Bremen, IN) and Comprehensive Rehab Consultants PLLC (Middle River, MD). Each 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 Constance Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Constance Bullock accept?
Health plans from CareSource and UnitedHealthcare list Constance 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 Constance Bullock was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Constance R Bullock, FNP-C · NPI 1104306620
Family physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since August 14, 2018.
## Identity
- **NPI:** 1104306620 (Entity type: Individual)
- **Enumerated:** August 14, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F07180086 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 6440 W 34TH ST, Indianapolis, IN 46224-1138
- **Phone:** (317) 293-4930
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Onhealthcare LLC (NPI 1114681681, Indianapolis, IN); Mid-South Home Care Services, LLC (NPI 1699463299, Indianapolis, IN); Aims, LLC (NPI 1376072785, Bremen, IN); Comprehensive Rehab Consultants PLLC (NPI 1710529771, Middle River, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104306620) · Data from the CMS NPPES public registry.