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ROSE MARIE SHAW-BULLOCK M.D.
NPI 1790749943
Family Medicine in N Little Rock, AR

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
400 W PERSHING BLVD, N LITTLE ROCK, AR 72114(501) 771-7717(501) 771-0550 Get Directions Write a Review

NPPES record last updated: August 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rose Marie Shaw-bullock M.d. NPPES

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

ROSE MARIE SHAW-BULLOCK M.D. (NPI 1790749943) is an individual family medicine provider in N Little Rock, Arkansas, licensed in Arkansas (E0873) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1994).

NPPES Registry Identity

NPI1790749943
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROSE MARIE SHAW-BULLOCKCredential: M.D.
Location Address400 W PERSHING BLVDN Little Rock, AR 72114-2146
Mailing Address400 W Pershing BlvdN Little Rock, AR 72114-2146 · (501) 771-7717 · Fax (501) 771-0550
Phone(501) 771-7717
Fax(501) 771-0550
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1994
Enumeration DateApril 14, 2006
Last NPPES UpdateAugust 2, 2010
✔ NPI 1790749943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E0873
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 W PERSHING BLVD, N Little Rock, AR 72114
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Other Identifiers 3

Medicaid132896001AR
Medicare UPING58623AR
Medicare ID-Type Unspecified5K549AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Rose Marie Shaw-bullock M.d. 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 ID5597933473
PECOS Enrollment IDI20110720000246
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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
87 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services48 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
27 services20 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
24 services24 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
20 services20 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72114 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$894.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers13 claims13 services$48.50 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims660 services$4.08 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims825 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers32 claims32 services$183.64 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$26.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

NORTH LITTLE ROCK PRIMARY CARE AND DIAGNOSTIC CLINIC PLLC
Family Medicine
400 W PERSHING BLVD
N LITTLE ROCK, AR 72114
Pulaski County (501) 771-7717
LATONYA HARRIS
Nurse Practitioner (Family)
400 W PERSHING BLVD
NORTH LITTLE ROCK, AR 72114
Pulaski County (501) 771-7717
ARIEL ELIZABETH ROHDE PA
Physician Assistant
400 W PERSHING BLVD
NORTH LITTLE ROCK, AR 72114
Pulaski County (501) 771-7717

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 Rose Shaw-bullock's NPI number?

The NPI number for Rose Shaw-bullock is 1790749943. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Rose Shaw-bullock located?

Rose Shaw-bullock practices at 400 W Pershing Blvd, N Little Rock, AR 72114. The listed phone number is (501) 771-7717.

What is Rose Shaw-bullock's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rose Shaw-bullock enrolled in Medicare?

Yes. Rose Shaw-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.

What insurance does Rose Shaw-bullock accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Rose Shaw-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 Rose Shaw-bullock was last updated on August 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.