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JORDAN KATE BULLARD NP
NPI 1245862424
Nurse Practitioner - Pediatrics in Beulaville, NC

Active since February 06, 2020PECOS Enrolled
119 CROSSOVER RD, BEULAVILLE, NC 28518(910) 298-3125 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2022, Dec 2, 2020, Sep 4, 2020 and 2 more (5 updates tracked since 2020).

About Jordan Kate Bullard Np NPPES

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

JORDAN KATE BULLARD NP (NPI 1245862424) is an individual pediatrics provider in Beulaville, North Carolina, licensed in North Carolina (5013460) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245862424
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJORDAN KATE BULLARDCredential: NP
Location Address119 CROSSOVER RDBeulaville, NC 28518-8801
Mailing Address119 Crossover RdBeulaville, NC 28518-8801 · (910) 298-3125
Phone(910) 298-3125
Sole ProprietorNo
Enumeration DateFebruary 6, 2020
Last NPPES UpdateMarch 2, 20225 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
✔ NPI 1245862424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NC · 5013460
119 CROSSOVER RD, Beulaville, NC 28518
Open in Google Maps ↗

Other Names 1

Other Name (5)Jordan Kate Mccormick Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Kate Bullard Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Bullard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Goshen Medical Center Incorporated
Same address
Federally Qualified Health Center (FQHC)
119 CROSSOVER RD
Beulaville, NC 28518
  • Reassigned Medicare billing, North Carolina enrollment
  • 173 clinicians in this Medicare group
NPI 1639294309 (910) 298-3125

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28518 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 7

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

MARSHALL K QUINN M.D.
Family Medicine
119 CROSSOVER RD
BEULAVILLE, NC 28518
Duplin County (910) 298-3125
DR. CARL D. PATE M.D.
Family Medicine
119 CROSSOVER RD
BEULAVILLE, NC 28518
Duplin County (910) 298-3125
ALEXANDRA POWELL WINN CPNP-PC
Nurse Practitioner (Pediatrics)
119 CROSSOVER RD
BEULAVILLE, NC 28518
Duplin County (910) 298-3125
GOSHEN MEDICAL CENTER INCORPORATED
Pharmacy (Community/Retail Pharmacy)
119 CROSSOVER RD
BEULAVILLE, NC 28518
Duplin County (910) 597-4455
GOSHEN MEDICAL CENTER INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
119 CROSSOVER RD
BEULAVILLE, NC 28518
Duplin County (910) 298-3125
MRS. CAITLIN CASEY FNP-C
Nurse Practitioner (Family)
119 CROSSOVER RD
BEULAVILLE, NC 28518
Duplin County (312) 591-0298
TINA B KENNEDY FNP
Nurse Practitioner (Family)
119 CROSSOVER RD
BEULAVILLE, NC 28518
Duplin County (910) 298-3125

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 Jordan Bullard's NPI number?

The NPI number for Jordan Bullard is 1245862424. It was assigned to this individual provider in the NPPES registry on February 6, 2020. The provider is also known as Jordan Kate Mccormick Np.

Where is Jordan Bullard located?

Jordan Bullard practices at 119 Crossover Rd, Beulaville, NC 28518. The listed phone number is (910) 298-3125.

What is Jordan Bullard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jordan Bullard enrolled in Medicare?

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

Which organization bills Medicare for Jordan Bullard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Bullard reassigns Medicare benefits to Goshen Medical Center Incorporated (Beulaville, NC). The 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 Jordan Bullard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Bullard accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Oscar Health Plan of North Carolina, Inc list Jordan 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 Jordan Bullard was last updated on March 2, 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.