SHEILA DIANE BULLOCK FNP-C
NPI 1366943334
Nurse Practitioner - Family in Kenmare, ND

Active since February 26, 2018PECOS EnrolledAccepts Medicare Assignment
307 1ST AVE NW, KENMARE, ND 58746(701) 385-4283 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2021, Feb 26, 2018 (2 updates tracked since 2018).

About Sheila Diane Bullock Fnp-c NPPES

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

SHEILA DIANE BULLOCK FNP-C (NPI 1366943334) is an individual family provider in Kenmare, North Dakota, licensed in Mississippi (902510) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Essentia Health Fosston, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366943334
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHEILA DIANE BULLOCKCredential: FNP-C
Location Address307 1ST AVE NWKenmare, ND 58746-7104
Mailing Address3140 Lowry RdLewisburg, TN 37091-6334 · (850) 449-4092
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 26, 2018
Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
NPI 1366943334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 902510
Also ListedNurse PractitionerTaxonomy 363L00000X · License R48267 (ND), 2495886 (MN)
307 1ST AVE NW, Kenmare, ND 58746

Accepted 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

Sheila Diane Bullock Fnp-c 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 ID8729342381
PECOS Enrollment IDI20220422000536
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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health Fosston

Critical Access Hospitals · Fosston, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241357
Location900 Hilligoss Boulevard SEFosston, MN 56542 · Polk County
Emergency services

St Andrew's Hospital

Critical Access Hospitals · Bottineau, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351307
Location316 Ohmer StreetBottineau, ND 58318 · Bottineau County
Emergency services

Sanford Mayville

Critical Access Hospitals · Mayville, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351309
Location42 6th Avenue SEMayville, ND 58257 · Traill County
Emergency services

West River Regional Medical Center

Critical Access Hospitals · Hettinger, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351330
Location1000 Highway 12Hettinger, ND 58639 · Adams County
Emergency services

Heart Of America Medical Center

Critical Access Hospitals · Rugby, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351332
Location800 S Main AveRugby, ND 58368 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58746 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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 2

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

Physician Assistant (Medical)
307 1ST AVE NW
KENMARE, ND 58746
Clinic/Center (Multi-Specialty)
307 1ST AVE NW
KENMARE, ND 58746

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 Sheila Bullock's NPI number?

The NPI number for Sheila Bullock is 1366943334. It was assigned to this individual provider in the NPPES registry on February 26, 2018.

Where is Sheila Bullock located?

Sheila Bullock practices at 307 1st Ave NW, Kenmare, ND 58746. The listed phone number is (701) 385-4283.

What is Sheila Bullock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sheila Bullock enrolled in Medicare?

Yes. Sheila 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 Sheila Bullock accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Sheila 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.

Is Sheila Bullock affiliated with any hospitals?

According to CMS data, Sheila Bullock is affiliated with Essentia Health Fosston, St Andrew's Hospital, Sanford Mayville, West River Regional Medical Center and Heart Of America Medical Center.

When was this NPI record last updated?

The NPPES record for Sheila Bullock was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.