JESSICA ELAINE BULLOCK NP
NPI 1609262278
Nurse Practitioner - Family in Kahului, HI
About Jessica Elaine Bullock Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA ELAINE BULLOCK NP (NPI 1609262278) is an individual family provider in Kahului, Hawaii, licensed in Hawaii (2240) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 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
Jessica Elaine Bullock 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jessica Bullock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Makawao, HI 96768
- Reassigned Medicare billing, Hawaii enrollment
- 4 clinicians in this Medicare group
Makawao, HI 96768
- Reassigned Medicare billing, Hawaii enrollment
- 2 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96732 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KAHULUI, HI 96732
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 Jessica Bullock's NPI number?
The NPI number for Jessica Bullock is 1609262278. It was assigned to this individual provider in the NPPES registry on April 10, 2015. The provider is also known as Jessica Bullock Smith.
Where is Jessica Bullock located?
Jessica Bullock practices at 33 Lono Ave Ste 250, Kahului, HI 96732. The listed phone number is (808) 500-3439.
What is Jessica Bullock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Bullock enrolled in Medicare?
Yes. Jessica 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 Jessica Bullock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Bullock reassigns Medicare benefits to 2 organizations: Maui Care Physicians LLC (Makawao, HI) and Aloha Primary Care Physicians & Associates (Makawao, HI). 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 Jessica Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Bullock accept?
Health plans from HMSA list Jessica 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 Jessica Bullock was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jessica Elaine Bullock, NP · NPI 1609262278
Family physician in Kahului, Hawaii. Individual provider, active in the CMS NPPES registry since April 10, 2015.
## Identity
- **NPI:** 1609262278 (Entity type: Individual)
- **Enumerated:** April 10, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2240 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 33 LONO AVE STE 250, Kahului, HI 96732-1634
- **Phone:** (808) 500-3439
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Maui Care Physicians LLC (NPI 1659062107, Makawao, HI); Aloha Primary Care Physicians & Associates (NPI 1851972111, Makawao, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 30, 2025
- **Other identifiers:** Medicaid 812778 (HI); Medicaid NP3164 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1609262278) · Data from the CMS NPPES public registry.