SHEILA DIANE BULLOCK FNP-C
NPI 1366943334
Nurse Practitioner - Family in Kenmare, ND
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 Lakewood Health Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Sheila Bullock reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ada, MN 56510
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1366886186 (Minnesota)
- 35 clinicians in this Medicare group
Oklee, MN 56742
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1497850119 (Minnesota)
- 91 clinicians in this Medicare group
Clearbrook, MN 56634
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1932472255 (Minnesota)
- 607 clinicians in this Medicare group
Graceville, MN 56240
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1982673620 (Minnesota)
- 31 clinicians in this Medicare group
Baudette, MN 56623
- Reassigned Medicare billing, Minnesota enrollment
- 27 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakewood Health Center
Critical Access Hospitals · Baudette, MNEssentia Health Fosston
Critical Access Hospitals · Fosston, MNSt Andrew's Hospital
Critical Access Hospitals · Bottineau, NDSanford Mayville
Critical Access Hospitals · Mayville, NDWest River Regional Medical Center
Critical Access Hospitals · Hettinger, NDPhysician 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.
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.
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.
Which organizations bill Medicare for Sheila Bullock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Bullock reassigns Medicare benefits to 5 organizations: Bridges Medical Center (Ada, MN), First Care Medical Services (Oklee, MN), Sanford Health Of Northern Minnesota (Clearbrook, MN), Graceville Health Center (Graceville, MN) and Lakewood Health Center (Baudette, MN). Each 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 Sheila Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sheila Bullock accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers 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 Lakewood Health Center, Essentia Health Fosston, St Andrew's Hospital, Sanford Mayville and West River Regional 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 8 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.
# Sheila Diane Bullock, FNP-C · NPI 1366943334
Family physician in Kenmare, North Dakota. Individual provider, active in the CMS NPPES registry since February 26, 2018.
## Identity
- **NPI:** 1366943334 (Entity type: Individual)
- **Enumerated:** February 26, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 902510 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 307 1ST AVE NW, Kenmare, ND 58746-7104
- **Phone:** (701) 385-4283
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Bridges Medical Center (NPI 1306836598, Ada, MN); First Care Medical Services (NPI 1174812465, Oklee, MN); Sanford Health Of Northern Minnesota (NPI 1457624272, Clearbrook, MN); Graceville Health Center (NPI 1013976281, Graceville, MN); Lakewood Health Center (NPI 1922072776, Baudette, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366943334) · Data from the CMS NPPES public registry.