ASHLEY MICHELLE BULLOCH
NPI 1790429140
Internal Medicine in Monroe, LA

Q: What is Ashley Bulloch's NPI number?

The NPI number for Ashley Bulloch is 1790429140. It was assigned to this individual provider in the NPPES registry on April 22, 2022. The provider is also known as Ashley Deville.

Q: What is Ashley Bulloch's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Bulloch was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 22, 2022PECOS EnrolledAccepts Medicare Assignment

309 JACKSON ST, MONROE, LA 71201(318) 966-4541(225) 765-9196 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2025, Apr 22, 2022 (2 updates tracked since 2022).

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About Ashley Michelle Bulloch NPPES

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

ASHLEY MICHELLE BULLOCH (NPI 1790429140) is an individual internal medicine provider in Monroe, Louisiana, licensed in Louisiana (346459) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Shreveport, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2022).

NPPES Registry Identity

NPI1790429140

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameASHLEY MICHELLE BULLOCH

Location Address309 JACKSON STMonroe, LA 71201-7407

Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (318) 966-4541 · Fax (225) 765-9196

Phone(318) 966-4541

Fax(225) 765-9196

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2022

Enumeration DateApril 22, 2022

Last NPPES UpdateJune 15, 20262 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1790429140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in LA · 346459

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 346459 (LA)

309 JACKSON ST, Monroe, LA 71201

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Other Names 1

Former Name (1)Ashley Deville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.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

Ashley Michelle Bulloch 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 ID5597121509

PECOS Enrollment IDI20250519002714

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.

Hospital Affiliations CMS Care Compare

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

Ochsner Lsu Health Shreveport

Acute Care Hospitals · Shreveport, LA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190098

Location1541 Kings HighwayShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71201 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 20

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

AMANDA RACHELLE SCHORR DO

Internal Medicine