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MARCELLE BULLARD PA
NPI 1184722001
Physician Assistant in New Berlin, WI

Active since September 21, 2006PECOS Enrolled
14555 W NATIONAL AVE, NEW BERLIN, WI 53151(262) 827-3636 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2021, Feb 17, 2020 (2 updates tracked since 2020).

About Marcelle Bullard Pa NPPES

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

MARCELLE BULLARD PA (NPI 1184722001) is an individual physician assistant in New Berlin, Wisconsin, licensed in Wisconsin (3485-023) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184722001
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARCELLE BULLARDCredential: PA
Location Address14555 W NATIONAL AVENew Berlin, WI 53151-4494
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (143) 892-3774
Phone(262) 827-3636
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1184722001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 3485-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 085-002401 (IL)
14555 W NATIONAL AVE, New Berlin, WI 53151
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Other Identifiers 3

Medicaid100043751WI
Other085-002401IL · Il State Lic
Other385-001224IL · Il Control Substance Lic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marcelle Bullard Pa 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 53151 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

MS. ANNE E WALZ CALVEY PA-C
Physician Assistant
14555 W NATIONAL AVE, SUITE 165
NEW BERLIN, WI 53151
Waukesha County (262) 827-3636
ORITSETIMEYIN E OTUBU-SCIPIO M.D.
Family Medicine
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (844) 284-0381
RUTH PENA PA-C
Physician Assistant (Medical)
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 693-4312
MICHELLE L MARTIN APNP
Nurse Practitioner
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-2955
BRIAN P. MCSORLEY M.D.
Family Medicine
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-2955
MARA M. SPENCER M.P.T.
Physical Therapist
14555 W NATIONAL AVE, STE. 135
NEW BERLIN, WI 53151
Waukesha County (262) 827-3180
DR. CHRISTINE MIERHA YANG R.PH
Pharmacist
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-9062
KYLA PHU APN
Nurse Practitioner
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (844) 284-0381

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 Marcelle Bullard's NPI number?

The NPI number for Marcelle Bullard is 1184722001. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Marcelle Bullard located?

Marcelle Bullard practices at 14555 W National Ave, New Berlin, WI 53151. The listed phone number is (262) 827-3636.

What is Marcelle Bullard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marcelle Bullard enrolled in Medicare?

Yes. Marcelle Bullard is registered in the Medicare PECOS enrollment system.

What insurance does Marcelle Bullard accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Marcelle Bullard 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 Marcelle Bullard was last updated on November 29, 2021. 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.