KELSEY BULLOCH PA-C
NPI 1841858149
Physician Assistant in Ypsilanti, MI

Q: What is Kelsey Bulloch's NPI number?

The NPI number for Kelsey Bulloch is 1841858149. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Q: What is Kelsey Bulloch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelsey Bulloch was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 31, 2019PECOS EnrolledAccepts Medicare Assignment

5301 MCAULEY DR, YPSILANTI, MI 48197(734) 712-3456 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 14, 2020, May 31, 2019 (2 updates tracked since 2019).

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About Kelsey Bulloch Pa-c NPPES

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

KELSEY BULLOCH PA-C (NPI 1841858149) is an individual physician assistant in Ypsilanti, Michigan, licensed in Michigan (5601009238) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Ann Arbor Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1841858149

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELSEY BULLOCHCredential: PA-C

Location Address5301 MCAULEY DRYpsilanti, MI 48197-1051

Mailing AddressPo Box 995Ann Arbor, MI 48106-0995 · (734) 712-3456

Phone(734) 712-3456

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMay 31, 2019

Last NPPES UpdateFebruary 14, 20202 updates tracked since enumeration

✔ NPI 1841858149 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 MI · 5601009238

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.

5301 MCAULEY DR, Ypsilanti, MI 48197

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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

Kelsey Bulloch Pa-c 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 ID3870929847

PECOS Enrollment IDI20200211001634

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.

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230156

Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48197 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

LINDSEY NICOLE FARAH-BRUNNER M.D.

Pediatrics