STACIE MAREE BULLOCK CRNP
NPI 1174802565
Nurse Practitioner in Birmingham, AL
About Stacie Maree Bullock Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACIE MAREE BULLOCK CRNP (NPI 1174802565) is an individual nurse practitioner in Birmingham, Alabama, licensed in Alabama (1-110629) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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
Stacie Maree Bullock Crnp 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
2Medicare enrollment records show Stacie Bullock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Homewood, AL 35209
- Reassigned Medicare billing, Alabama enrollment
- 85 clinicians in this Medicare group
Lincoln, AL 35096
- Reassigned Medicare billing, Alabama enrollment
- 430 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 4
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 35209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HOMEWOOD, AL 35209
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 Stacie Bullock's NPI number?
The NPI number for Stacie Bullock is 1174802565. It was assigned to this individual provider in the NPPES registry on August 16, 2011.
Where is Stacie Bullock located?
Stacie Bullock practices at 3485 Independence Dr, Birmingham, AL 35209. The listed phone number is (205) 930-0920.
What is Stacie Bullock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Stacie Bullock enrolled in Medicare?
Yes. Stacie 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 Stacie Bullock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Bullock reassigns Medicare benefits to 2 organizations: Urology Centers Of Alabama PC (Homewood, AL) and Baptist Health Centers, LLC (Lincoln, AL). 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 Stacie Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacie Bullock accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Stacie 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 Stacie Bullock was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Stacie Maree Bullock, CRNP · NPI 1174802565
Nurse Practitioner physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since August 16, 2011.
## Identity
- **NPI:** 1174802565 (Entity type: Individual)
- **Enumerated:** August 16, 2011
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1-110629 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 3485 INDEPENDENCE DR, Birmingham, AL 35209-5603
- **Phone:** (205) 930-0920
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Urology Centers Of Alabama PC (NPI 1710962550, Homewood, AL); Baptist Health Centers, LLC (NPI 1770547804, Lincoln, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174802565) · Data from the CMS NPPES public registry.