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STACIE MAREE BULLOCK CRNP
NPI 1174802565
Nurse Practitioner in Birmingham, AL

Active since August 16, 2011PECOS EnrolledAccepts Medicare Assignment
3485 INDEPENDENCE DR, BIRMINGHAM, AL 35209(205) 930-0920 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2023, Sep 12, 2017 (2 updates tracked since 2017).

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

NPI1174802565
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACIE MAREE BULLOCKCredential: CRNP
Location Address3485 INDEPENDENCE DRBirmingham, AL 35209-5603
Mailing Address3485 Independence DrBirmingham, AL 35209-5603 · (205) 930-0920
Phone(205) 930-0920
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 16, 2011
Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1174802565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-110629
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3485 INDEPENDENCE DR, Birmingham, AL 35209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

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.

PECOS PAC ID8123299724
PECOS Enrollment IDI20110912000139
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 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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients
Partial removal of kidney using an endoscope 50543
This procedure, also known as partial nephrectomy, involves the use of an endoscope to remove a portion of your kidney. It's typically done to treat kidney disease or remove a small tumor. The endoscope, a thin tube with a camera, allows the surgeon to see and operate without making a large incision.
13 services13 patients
Surgical removal of prostate and surrounding lymph nodes using an endoscope 55866
This is a minimally invasive procedure where a small camera (endoscope) is used to remove a gland located in the lower body and nearby small filtering structures. It's done to prevent the spread of unwanted cells and improve overall health.
12 services12 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

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.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

DR. RUPA KOTHANDAPANI KITCHENS MD
Urology
3485 INDEPENDENCE DR
HOMEWOOD, AL 35209
Jefferson County (205) 930-0920
BRIAN KENNETH WADE M.D.
Urology
3485 INDEPENDENCE DR
HOMEWOOD, AL 35209
Jefferson County (205) 930-0920
DR. NICOLISA D MASSIE M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
3485 INDEPENDENCE DR
HOMEWOOD, AL 35209
Jefferson County (205) 930-0920
MICHAEL ERIC BREWER JR. M.D.
Urology
3485 INDEPENDENCE DR
HOMEWOOD, AL 35209
Jefferson County (205) 930-0920
SARAH COLEMAN CAUSEY PA
Physician Assistant
3485 INDEPENDENCE DR
BIRMINGHAM, AL 35209
Jefferson County (205) 930-0920
BAILEY THRASH DUKE PA
Physician Assistant
3485 INDEPENDENCE DR
HOMEWOOD, AL 35209
Jefferson County (205) 414-4544
CLAIRE HOOD DONALDSON PAC
Physician Assistant (Surgical)
3485 INDEPENDENCE DR
HOMEWOOD, AL 35209
Jefferson County (205) 930-0920
THOMAS D HOLLEY MD
Urology
3485 INDEPENDENCE DR
HOMEWOOD, AL 35209
Jefferson County (205) 930-0920

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.

What insurance does Stacie Bullock accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers 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 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.