STEFAN BULATOVIC PMHNP-BC
NPI 1750053559
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since September 30, 2021PECOS EnrolledAccepts Medicare Assignment
2810 CAMINO DEL RIO S STE 102, SAN DIEGO, CA 92108(619) 299-1419 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stefan Bulatovic Pmhnp-bc NPPES

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

STEFAN BULATOVIC PMHNP-BC (NPI 1750053559) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95018067) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1750053559
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSTEFAN BULATOVICCredential: PMHNP-BC
Location Address2810 CAMINO DEL RIO S STE 102San Diego, CA 92108-3819
Mailing Address3644 Wilson AveSan Diego, CA 92104-4430 · (619) 559-5305
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 30, 2021
NPPES CertifiedSeptember 30, 2021
NPI 1750053559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95018067
2810 CAMINO DEL RIO S STE 102, San Diego, CA 92108

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

Stefan Bulatovic Pmhnp-bc 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 ID3779965280
PECOS Enrollment IDI20250529001520
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 92108 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 11

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

Internal Medicine
2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
Nurse Practitioner (Psychiatric/Mental Health)
2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
Nurse Practitioner (Gerontology)
2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
Internal Medicine (Geriatric Medicine)
2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
Nurse Practitioner
2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
Psychologist (Clinical)
2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
Nurse Practitioner (Psychiatric/Mental Health)
2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
Nurse Practitioner
2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108

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 Stefan Bulatovic's NPI number?

The NPI number for Stefan Bulatovic is 1750053559. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Where is Stefan Bulatovic located?

Stefan Bulatovic practices at 2810 Camino Del Rio S Ste 102, San Diego, CA 92108. The listed phone number is (619) 299-1419.

What is Stefan Bulatovic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stefan Bulatovic enrolled in Medicare?

Yes. Stefan Bulatovic 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 Stefan Bulatovic accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Stefan Bulatovic 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 Stefan Bulatovic was last updated on September 30, 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.