STEFAN BULATOVIC PMHNP-BC
NPI 1750053559
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA
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
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Stefan Bulatovic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94108
- Reassigned Medicare billing, California enrollment
- 118 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 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.
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.
SAN DIEGO, CA 92108
SAN DIEGO, CA 92108
SAN DIEGO, CA 92108
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.
Which organization bills Medicare for Stefan Bulatovic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stefan Bulatovic reassigns Medicare benefits to Mindful Health Solutions A Professional Medical Corporation (San Francisco, CA). 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 Stefan Bulatovic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stefan Bulatovic accept?
Health plans from Moda Health Plan, Inc. and PacificSource Health Plans 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 5 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.
# Stefan Bulatovic, PMHNP-BC · NPI 1750053559
Psychiatric/Mental Health physician in San Diego, California. Individual provider, active in the CMS NPPES registry since September 30, 2021.
## Identity
- **NPI:** 1750053559 (Entity type: Individual)
- **Enumerated:** September 30, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95018067 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2810 CAMINO DEL RIO S STE 102, San Diego, CA 92108-3819
- **Phone:** (619) 299-1419
## 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:** Mindful Health Solutions A Professional Medical Corporation (NPI 1881894483, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1750053559) · Data from the CMS NPPES public registry.