KEINISHA BULLARD CRNA
NPI 1649578451
Nurse Anesthetist, Certified Registered in Tyler, TX
About Keinisha Bullard Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEINISHA BULLARD CRNA (NPI 1649578451) is an individual nurse anesthetist, certified registered in Tyler, Texas, licensed in Louisiana (RN108766) and active in the NPI registry since March 2011. She is affiliated with Ut Southwestern University Hospital - William P. Clements Jr. and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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
Keinisha Bullard Crna 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 Reassignment
Medicare enrollment records show Keinisha Bullard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 5,299 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Southwestern University Hospital - William P. Clements Jr.
Acute Care Hospitals · Dallas, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Keinisha Bullard's NPI number?
The NPI number for Keinisha Bullard is 1649578451. It was assigned to this individual provider in the NPPES registry on March 2, 2011.
Where is Keinisha Bullard located?
Keinisha Bullard practices at 800 E Dawson St, Tyler, TX 75701. The listed phone number is (903) 531-4500.
What is Keinisha Bullard's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Keinisha Bullard enrolled in Medicare?
Yes. Keinisha Bullard 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 organization bills Medicare for Keinisha Bullard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keinisha Bullard reassigns Medicare benefits to The University Of Texas Southwestern Medical Center At Dallas (Tyler, TX). The 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 Keinisha Bullard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keinisha Bullard accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Keinisha Bullard 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.
Is Keinisha Bullard affiliated with any hospitals?
According to CMS data, Keinisha Bullard is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..
When was this NPI record last updated?
The NPPES record for Keinisha Bullard was last updated on October 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Keinisha Bullard, CRNA · NPI 1649578451
Nurse Anesthetist, Certified Registered physician in Tyler, Texas. Individual provider, active in the CMS NPPES registry since March 2, 2011.
## Identity
- **NPI:** 1649578451 (Entity type: Individual)
- **Enumerated:** March 2, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN108766 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 E DAWSON ST, Tyler, TX 75701-2036
- **Phone:** (903) 531-4500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** The University Of Texas Southwestern Medical Center At Dallas (NPI 1417099599, Tyler, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 14, 2014
- **Other identifiers:** Medicare OSCAR/certification P00933605 (TX); Other 8283UB (TX); Medicaid 280340501 (TX); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1649578451) · Data from the CMS NPPES public registry.