MR. JEREMY ALAN BULLOCK CRNA
NPI 1760825145
Nurse Anesthetist, Certified Registered in Lebanon, PA

Q: What is Jeremy Bullock's NPI number?

The NPI number for Jeremy Bullock is 1760825145. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Q: What is Jeremy Bullock's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Bullock was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 16, 2013Accepts Medicare Assignment

252 S 4TH ST, LEBANON, PA 17042(717) 270-7500(717) 228-1642 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2025, Mar 13, 2023, Jan 18, 2021 and 2 more (5 updates tracked since 2017).

On this page

About Mr. Jeremy Alan Bullock Crna NPPES

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

MR. JEREMY ALAN BULLOCK CRNA (NPI 1760825145) is an individual nurse anesthetist, certified registered in Lebanon, Pennsylvania, licensed in Pennsylvania (RN528480L) and active in the NPI registry since April 2013. He is affiliated with Wellspan Good Samaritan Hospital, maintains 5 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1760825145

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. JEREMY ALAN BULLOCKCredential: CRNA

Location Address252 S 4TH STLebanon, PA 17042-6111

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405

Phone(717) 270-7500

Fax(717) 228-1642

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 16, 2013

Last NPPES UpdateMarch 19, 20255 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1760825145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in PA · RN528480L

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

252 S 4TH ST, Lebanon, PA 17042

Open in Google Maps ↗

Secondary Practice Locations 5

Location 125 Monument Rd Ste 270York, PA 17403-5073 · Phone (717) 741-8250

Location 2169 Martin AveunueEphrata, PA 17522-1734 · Phone (717) 733-0311

Location 355 Monument RdYork, PA 17403-5023 · Phone (717) 812-6425

Location 41001 S George StYork, PA 17403-3676 · Phone (717) 812-7687

Location 5111 S Front StHarrisburg, PA 17101-2010 · Phone (717) 782-5118 · Fax (717) 782-5854

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

Mr. Jeremy Alan Bullock Crna 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 ID1254572084

PECOS Enrollment IDI20130720000291

Medicare Billing Reassignments

Medicare enrollment records show Jeremy Bullock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellspan Medical Group

0.2 mi

Family Medicine

30 N 4TH ST # 2
Lebanon, PA 17046

Reassigned Medicare billing, Pennsylvania enrollment
3,080 clinicians in this Medicare group

NPI 1356892889 (717) 274-0474

Upmc Pinnacle Anesthesia Services, LLC

25 mi

Anesthesiology

111 S FRONT ST
Harrisburg, PA 17101

Reassigned Medicare billing, Pennsylvania enrollment
394 clinicians in this Medicare group

NPI 1730693979 (717) 782-3131

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

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.

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390066

Location252 South 4th StreetLebanon, PA 17042 · Lebanon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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 20

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

NABA RAJ MAINALI MD

Hospitalist

252 S 4TH ST
LEBANON, PA 17042

Lebanon County (717) 270-4876

MATTHEW JOHN YORTY

Nurse Anesthetist, Certified Registered

252 S 4TH ST
LEBANON, PA 17042

Lebanon County (717) 270-7500

LISA M HELFRICH PA-C

Physician Assistant

252 S 4TH ST, GOOD SAMARITAN HOSPITAL
LEBANON, PA 17042

Lebanon County (717) 270-7688

CLAUDIA BOHDAL

Physician Assistant

252 S 4TH ST
LEBANON, PA 17042

Lebanon County (717) 270-7500

MARCUS ALEXANDER SAUNDERS M.D.

Emergency Medicine

252 S 4TH ST
LEBANON, PA 17042

Lebanon County (717) 270-7688

DR. NINA L ELLIOTT DO

Emergency Medicine

252 S 4TH ST
LEBANON, PA 17042

Lebanon County (717) 270-7688

MRS. WANDA GARRETT PEREZ CRNA

Nurse Anesthetist, Certified Registered

252 S 4TH ST
LEBANON, PA 17042

Lebanon County (717) 270-7500

PRIYANKA SHARMA DO

Hospitalist

252 S 4TH ST
LEBANON, PA 17042

Lebanon County (717) 270-4876

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 Jeremy Bullock's NPI number?

The NPI number for Jeremy Bullock is 1760825145. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Jeremy Bullock located?

Jeremy Bullock practices at 252 S 4th St, Lebanon, PA 17042. The listed phone number is (717) 270-7500.

What is Jeremy Bullock's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jeremy Bullock enrolled in Medicare?

Yes. Jeremy 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 Jeremy Bullock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Bullock reassigns Medicare benefits to 2 organizations: Wellspan Medical Group (Lebanon, PA) and Upmc Pinnacle Anesthesia Services, LLC (Harrisburg, PA). 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 Jeremy Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeremy Bullock affiliated with any hospitals?

According to CMS data, Jeremy Bullock is affiliated with Wellspan Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Jeremy Bullock was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.