AMANDA E BULL
NPI 1396490058
Nurse Practitioner - Adult Health in Little Rock, AR

Q: What is Amanda Bull's NPI number?

The NPI number for Amanda Bull is 1396490058. It was assigned to this individual provider in the NPPES registry on February 21, 2022. The provider is also known as Amanda E Pettit.

Q: What is Amanda Bull's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Bull was last updated on May 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 21, 2022PECOS EnrolledAccepts Medicare Assignment

415 N UNIVERSITY AVE, LITTLE ROCK, AR 72205(501) 666-0249(501) 552-5334 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 30, 2025, Feb 21, 2022 (2 updates tracked since 2022).

On this page

About Amanda E Bull NPPES

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

AMANDA E BULL (NPI 1396490058) is an individual adult health provider in Little Rock, Arkansas, licensed in Arkansas (219121) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396490058

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameAMANDA E BULL

Location Address415 N UNIVERSITY AVELittle Rock, AR 72205-3108

Mailing Address415 N University AveLittle Rock, AR 72205-3108 · (501) 666-0249 · Fax (501) 552-5334

Phone(501) 666-0249

Fax(501) 552-5334

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 21, 2022

Last NPPES UpdateMay 30, 20252 updates tracked since enumeration

NPPES CertifiedMay 30, 2025

✔ NPI 1396490058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in AR · 219121

415 N UNIVERSITY AVE, Little Rock, AR 72205

Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda E Pettit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Amanda E Bull 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 ID2062807795

PECOS Enrollment IDI20220316002669

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 72205 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Leave this field empty

Other Providers at the Same Location NPPES 6

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

DR. JAMES LYNN DAVIS MD

Internal Medicine (Cardiovascular Disease)