KENZIE ALLYN BULLOCK APRN
NPI 1487531232
Nurse Practitioner - Psychiatric/Mental Health in Little Rock, AR

Q: What is Kenzie Bullock's NPI number?

The NPI number for Kenzie Bullock is 1487531232. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Q: What is Kenzie Bullock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kenzie Bullock was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 20, 2025PECOS Enrolled

2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205(501) 552-3000 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kenzie Allyn Bullock Aprn NPPES

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

KENZIE ALLYN BULLOCK APRN (NPI 1487531232) is an individual psychiatric/mental health provider in Little Rock, Arkansas, licensed in Arkansas (232103) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2021).

NPPES Registry Identity

NPI1487531232

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKENZIE ALLYN BULLOCKCredential: APRN

Location Address2 SAINT VINCENT CIRLittle Rock, AR 72205-5423

Mailing Address38 Sugarloaf LoopMaumelle, AR 72113-6369 · (870) 830-9346

Phone(501) 552-3000

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2021

Enumeration DateAugust 20, 2025

NPPES CertifiedAugust 20, 2025

✔ NPI 1487531232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AR · 232103

2 SAINT VINCENT CIR, Little Rock, AR 72205

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenzie Allyn Bullock Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901373034

PECOS Enrollment IDI20260427002125

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.

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.

CHI ST. VINCENT INFIRMARY

Rehabilitation, Substance Use Disorder Unit