LAUREN MARIE BULLARD PA-C
NPI 1720330319
Physician Assistant - Medical in Woodhaven, MI

Active since October 08, 2012PECOS EnrolledAccepts Medicare Assignment
77.26/100
CMS Quality Rating
21401 ALLEN RD, WOODHAVEN, MI 48183(734) 675-0835(734) 675-0873 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 22, 2020, Jun 12, 2019 (2 updates tracked since 2019).

About Lauren Marie Bullard Pa-c NPPES

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

LAUREN MARIE BULLARD PA-C (NPI 1720330319) is an individual medical provider in Woodhaven, Michigan, licensed in Michigan (5601006508) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1720330319
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLAUREN MARIE BULLARDCredential: PA-C
Location Address21401 ALLEN RDWoodhaven, MI 48183-1665
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1863 · Fax (947) 522-0307
Fax(734) 675-0873
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 8, 2012
Last NPPES UpdateJanuary 14, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
NPI 1720330319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601006508
Also ListedDermatologyTaxonomy 207N00000X · License 5601006508 (MI)
21401 ALLEN RD, Woodhaven, MI 48183

Other Names 1

Former Name (1)Lauren Marie Shoemaker Pa-c

Accepted 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

Lauren Marie Bullard Pa-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.

PECOS PAC ID8527200989
PECOS Enrollment IDI20130814000430
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.

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.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.24
Promoting Interoperability100
Improvement Activities40
Cost41.96

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
21401 ALLEN RD
WOODHAVEN, MI 48183
Physician Assistant
21401 ALLEN RD
WOODHAVEN, MI 48183
Physician Assistant (Medical)
21401 ALLEN RD
WOODHAVEN, MI 48183
Physician Assistant (Surgical)
21401 ALLEN RD
WOODHAVEN, MI 48183

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 Lauren Bullard's NPI number?

The NPI number for Lauren Bullard is 1720330319. It was assigned to this individual provider in the NPPES registry on October 8, 2012. The provider is also known as Lauren Marie Shoemaker Pa-C.

Where is Lauren Bullard located?

Lauren Bullard practices at 21401 Allen Rd, Woodhaven, MI 48183. The listed phone number is (734) 675-0835.

What is Lauren Bullard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lauren Bullard enrolled in Medicare?

Yes. Lauren 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.

What insurance does Lauren Bullard accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community list Lauren 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.

When was this NPI record last updated?

The NPPES record for Lauren Bullard was last updated on January 14, 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.