RENNETTE TIAMSON BULATAO NURSE PRACTITIONER
NPI 1285364877
Nurse Practitioner - Gerontology in Las Vegas, NV
About Rennette Tiamson Bulatao Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENNETTE TIAMSON BULATAO NURSE PRACTITIONER (NPI 1285364877) is an individual gerontology provider in Las Vegas, Nevada, licensed in Nevada (815814) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Rennette Tiamson Bulatao Nurse Practitioner 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.
Areas of Expertise CMS Part B claims 2
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 89119 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.
LAS VEGAS, NV 89119
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 Rennette Bulatao's NPI number?
The NPI number for Rennette Bulatao is 1285364877. It was assigned to this individual provider in the NPPES registry on June 15, 2022.
Where is Rennette Bulatao located?
Rennette Bulatao practices at 4475 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 877-5119.
What is Rennette Bulatao's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Rennette Bulatao enrolled in Medicare?
Yes. Rennette Bulatao 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.
When was this NPI record last updated?
The NPPES record for Rennette Bulatao was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Rennette Tiamson Bulatao, NURSE PRACTITIONER · NPI 1285364877
Gerontology physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since June 15, 2022.
## Identity
- **NPI:** 1285364877 (Entity type: Individual)
- **Enumerated:** June 15, 2022
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 815814 (Nevada)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4475 S EASTERN AVE, Las Vegas, NV 89119-7826
- **Phone:** (702) 877-5119
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285364877) · Data from the CMS NPPES public registry.