PATRICIA BULLOCK NP-C
NPI 1679862817
Nurse Practitioner - Family in Taylorsville, MS
About Patricia Bullock Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICIA BULLOCK NP-C (NPI 1679862817) is an individual family provider in Taylorsville, Mississippi, licensed in Mississippi (R852050) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with South Central Reg Med Ctr, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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
Patricia Bullock Np-c 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
11Medicare enrollment records show Patricia Bullock reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Taylorsville, MS 39168
- Reassigned Medicare billing, Mississippi enrollment
- 3 clinicians in this Medicare group
Collins, MS 39428
- Reassigned Medicare billing, Mississippi enrollment
- 69 clinicians in this Medicare group
Magee, MS 39111
- Reassigned Medicare billing, Mississippi enrollment
- 39 clinicians in this Medicare group
Bassfield, MS 39421
- Reassigned Medicare billing, Mississippi enrollment
- 40 clinicians in this Medicare group
Petal, MS 39465
- Reassigned Medicare billing, Mississippi enrollment
- 38 clinicians in this Medicare group
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- 48 clinicians in this Medicare group
Mccomb, MS 39648
- Reassigned Medicare billing, Mississippi enrollment
- 29 clinicians in this Medicare group
Picayune, MS 39466
- Reassigned Medicare billing, Mississippi enrollment
- 38 clinicians in this Medicare group
Gulfport, MS 39503
- Reassigned Medicare billing, Mississippi enrollment
- 65 clinicians in this Medicare group
Ocean Springs, MS 39564
- Reassigned Medicare billing, Mississippi enrollment
- 64 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.
Areas of Expertise CMS Part B claims 17
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Central Reg Med Ctr
Acute Care Hospitals · Laurel, MSMagee General Hospital
Acute Care Hospitals · Magee, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39168 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Patricia Bullock's NPI number?
The NPI number for Patricia Bullock is 1679862817. It was assigned to this individual provider in the NPPES registry on March 28, 2011.
Where is Patricia Bullock located?
Patricia Bullock practices at 403 Pine St, Taylorsville, MS 39168. The listed phone number is (601) 452-7080.
What is Patricia Bullock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Patricia Bullock enrolled in Medicare?
Yes. Patricia 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 Patricia Bullock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Bullock reassigns Medicare benefits to 11 organizations: Mississippi Medical Clinic (Taylorsville, MS), Covington County Hospital (Collins, MS), Maxem Health Urgent Care Magee (Magee, MS), Pioneer Health Care , LLC (Bassfield, MS), Petal Urgent Care LLC (Petal, MS) and 6 more organizations, listed in the Medicare section above. 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 Patricia Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patricia Bullock accept?
Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Patricia 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.
Is Patricia Bullock affiliated with any hospitals?
According to CMS data, Patricia Bullock is affiliated with South Central Reg Med Ctr and Magee General Hospital.
When was this NPI record last updated?
The NPPES record for Patricia Bullock was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Patricia Bullock, NP-C · NPI 1679862817
Family physician in Taylorsville, Mississippi. Individual provider, active in the CMS NPPES registry since March 28, 2011.
## Identity
- **NPI:** 1679862817 (Entity type: Individual)
- **Enumerated:** March 28, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R852050 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 403 PINE ST, Taylorsville, MS 39168-5659
- **Phone:** (601) 452-7080 · **Fax:** (601) 452-7083
## 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:** 11 organizations under Medicare reassignment (form CMS-855R): Mississippi Medical Clinic (NPI 1114694536, Taylorsville, MS); Covington County Hospital (NPI 1518260330, Collins, MS); Maxem Health Urgent Care Magee (NPI 1235669136, Magee, MS); Pioneer Health Care , LLC (NPI 1336384742, Bassfield, MS); Petal Urgent Care LLC (NPI 1982908877, Petal, MS); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** December 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1679862817) · Data from the CMS NPPES public registry.