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KRISTI A BULLOCK PA
NPI 1760458178
Physician Assistant in Davenport, IA

Active since February 24, 2006PECOS Enrolled
5350 EASTERN AVE., DAVENPORT, IA 52807(563) 355-1853(563) 359-1512 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kristi A Bullock Pa NPPES

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

KRISTI A BULLOCK PA (NPI 1760458178) is an individual physician assistant in Davenport, Iowa, licensed in Iowa (001204) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760458178
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTI A BULLOCKCredential: PA
Location Address5350 EASTERN AVE.Davenport, IA 52807-2709
Mailing Address5350 Eastern Ave.Davenport, IA 52807-2709 · (563) 355-1853 · Fax (563) 359-1512
Phone(563) 355-1853
Fax(563) 359-1512
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateOctober 6, 2017
✔ NPI 1760458178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IA · 001204
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5350 EASTERN AVE., Davenport, IA 52807
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Other Identifiers 1

Medicare UPINS74517IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristi A Bullock Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 52807 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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 4

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

LYDIA JEANNE SWAILES CNM
Advanced Practice Midwife
5350 EASTERN AVE.
DAVENPORT, IA 52807
Scott County (563) 355-1853
P JO ANN NEILSON ARNP
Nurse Practitioner (Women's Health)
5350 EASTERN AVE.
DAVENPORT, IA 52807
Scott County (563) 355-1853
BETH CARLSON CNM
Advanced Practice Midwife
5350 EASTERN AVE.
DAVENPORT, IA 52807
Scott County (563) 355-1853
STACEY L FLYNN ARNP
Nurse Practitioner (Women's Health)
5350 EASTERN AVE.
DAVENPORT, IA 52807
Scott County (563) 355-1853

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 Kristi Bullock's NPI number?

The NPI number for Kristi Bullock is 1760458178. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Kristi Bullock located?

Kristi Bullock practices at 5350 Eastern Ave., Davenport, IA 52807. The listed phone number is (563) 355-1853.

What is Kristi Bullock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristi Bullock enrolled in Medicare?

Yes. Kristi Bullock is registered in the Medicare PECOS enrollment system.

What insurance does Kristi Bullock accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Kristi 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.

When was this NPI record last updated?

The NPPES record for Kristi Bullock was last updated on October 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.