NELIA BAUTISTA BULOS NP
NPI 1528493418
Nurse Practitioner - Family in West Covina, CA

Active since September 10, 2013PECOS EnrolledAccepts Medicare Assignment
1626 S WILLOW AVE, WEST COVINA, CA 91790(626) 960-1961 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nelia Bautista Bulos Np NPPES

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

NELIA BAUTISTA BULOS NP (NPI 1528493418) is an individual family provider in West Covina, California, licensed in California (21826) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1528493418
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNELIA BAUTISTA BULOSCredential: NP
Location Address1626 S WILLOW AVEWest Covina, CA 91790-5621
Mailing Address1626 S Willow AveWest Covina, CA 91790-5621
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 10, 2013
Last NPPES UpdateJuly 7, 2023
NPI 1528493418 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 CA · 21826
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 21826 (CA)
1626 S WILLOW AVE, West Covina, CA 91790

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

Nelia Bautista Bulos Np 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 ID143594838
PECOS Enrollment IDI20170919002389
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 91790 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Nelia Bulos's NPI number?

The NPI number for Nelia Bulos is 1528493418. It was assigned to this individual provider in the NPPES registry on September 10, 2013.

Where is Nelia Bulos located?

Nelia Bulos practices at 1626 S Willow Ave, West Covina, CA 91790. The listed phone number is (626) 960-1961.

What is Nelia Bulos's specialty?

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

Is Nelia Bulos enrolled in Medicare?

Yes. Nelia Bulos 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.

When was this NPI record last updated?

The NPPES record for Nelia Bulos was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.