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RANDY A BULLOCK APRN W PP SUB
NPI 1528099231
Nurse Practitioner in Ogden, UT

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
237 26TH ST, OGDEN, UT 84401(801) 625-3605(801) 625-3615 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Randy A Bullock Aprn W Pp Sub NPPES

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

RANDY A BULLOCK APRN W PP SUB (NPI 1528099231) is an individual nurse practitioner in Ogden, Utah, licensed in Utah (1996264405) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1528099231
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRANDY A BULLOCKCredential: APRN W PP SUB
Location Address237 26TH STOgden, UT 84401-3105
Mailing Address237 26th StOgden, UT 84401-3105 · (801) 625-3605 · Fax (801) 625-3615
Phone(801) 625-3605
Fax(801) 625-3615
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1528099231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in UT · 1996264405✔ Licensed in UT · 8900CS
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
237 26TH ST, Ogden, UT 84401
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Other Identifiers 2

Medicaid876000308007UT
Medicare UPINQ03123

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Randy A Bullock Aprn W Pp Sub 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 ID7315830882
PECOS Enrollment IDI20040206000796
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.

Areas of Expertise CMS Part B claims 3

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
150 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
147 services68 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84401 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

STACY M NELSON RN
Registered Nurse (Psychiatric/Mental Health, Adult)
237 26TH ST
OGDEN, UT 84401
Weber County (801) 778-6890
MRS. GINGER JONES
Counselor (Professional)
237 26TH ST
OGDEN, UT 84401
Weber County (801) 625-3700
ADAM NANCE
Case Manager/Care Coordinator
237 26TH ST
OGDEN, UT 84401
Weber County (801) 625-3700
KARLIE ERVIN
Case Manager/Care Coordinator
237 26TH ST
OGDEN, UT 84401
Weber County (801) 625-3700
JENICA SHELDON
Registered Nurse (Psychiatric/Mental Health)
237 26TH ST
OGDEN, UT 84401
Weber County (801) 625-3700
ANGEL HURTADO
Community Health Worker
237 26TH ST
OGDEN, UT 84401
Weber County (801) 625-3700
WEBER HUMAN SERVICES
Case Management
237 26TH ST
OGDEN, UT 84401
Weber County (801) 399-8706
MELISSA B VALDEZ
Counselor (Professional)
237 26TH ST
OGDEN, UT 84401
Weber County (801) 625-3648

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 Randy Bullock's NPI number?

The NPI number for Randy Bullock is 1528099231. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Randy Bullock located?

Randy Bullock practices at 237 26th St, Ogden, UT 84401. The listed phone number is (801) 625-3605.

What is Randy Bullock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Randy Bullock enrolled in Medicare?

Yes. Randy 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 Randy Bullock accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Randy 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.

When was this NPI record last updated?

The NPPES record for Randy Bullock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.