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MRS. THERESA SUE IGNACZAK BULLIS CPNP-PC
NPI 1871041996
Nurse Practitioner - Pediatrics in New Berlin, WI

Active since September 18, 2016
4855 S MOORLAND RD, NEW BERLIN, WI 53151(262) 432-7599(262) 432-7694 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2018, Sep 18, 2016 (2 updates tracked since 2016).

About Mrs. Theresa Sue Ignaczak Bullis Cpnp-pc NPPES

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

MRS. THERESA SUE IGNACZAK BULLIS CPNP-PC (NPI 1871041996) is an individual pediatrics provider in New Berlin, Wisconsin, licensed in Wisconsin (7248-33) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1871041996
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. THERESA SUE IGNACZAK BULLISCredential: CPNP-PC
Location Address4855 S MOORLAND RDNew Berlin, WI 53151-7494
Mailing Address9000 W Wisconsin Ave # Ms 958Milwaukee, WI 53226-4874 · (414) 266-7615 · Fax (414) 266-6238
Phone(262) 432-7599
Fax(262) 432-7694
Sole ProprietorNo
Enumeration DateSeptember 18, 2016
Last NPPES UpdateDecember 17, 20182 updates tracked since enumeration
✔ NPI 1871041996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WI · 7248-33
4855 S MOORLAND RD, New Berlin, WI 53151
Open in Google Maps ↗

Other Identifiers 1

Medicaid1871041996WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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.

HANNAH MAZUR
Nurse Practitioner (Family)
4855 S MOORLAND RD
NEW BERLIN, WI 53151
Waukesha County (262) 432-7599
MS. JULIE ANN AVERBECK NP
Nurse Practitioner (Pediatrics)
4855 S MOORLAND RD, SUITE 150
NEW BERLIN, WI 53151
Waukesha County (414) 425-5660
SADIA T ANSARI MD
Pediatrics
4855 S MOORLAND RD
NEW BERLIN, WI 53151
Waukesha County (262) 432-7599
DR. OLUBUNMI ABIOLA OLORUNDAMI M.D.
Pediatrics
4855 S MOORLAND RD, URGENT CARE CLINIC - 3RD FLOOR
NEW BERLIN, WI 53151
Waukesha County (262) 432-7599
MRS. AMANDA M KOTOWSKI NP
Nurse Practitioner
4855 S MOORLAND RD, 3RD FLOOR
NEW BERLIN, WI 53151
Waukesha County (262) 432-7599
MRS. MARINETA L SAUNDERSON APN
Nurse Practitioner (Family)
4855 S MOORLAND RD
NEW BERLIN, WI 53151
Waukesha County (262) 432-7599
CHRIS M ZUKOWSKI M.D.
Pediatrics
4855 S MOORLAND RD, SUITE 150
NEW BERLIN, WI 53151
Waukesha County (414) 425-5660
TONY M CHUANG MD
Pediatrics
4855 S MOORLAND RD
NEW BERLIN, WI 53151
Waukesha County (262) 432-7599

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 Theresa Bullis's NPI number?

The NPI number for Theresa Bullis is 1871041996. It was assigned to this individual provider in the NPPES registry on September 18, 2016.

Where is Theresa Bullis located?

Theresa Bullis practices at 4855 S Moorland Rd, New Berlin, WI 53151. The listed phone number is (262) 432-7599.

What is Theresa Bullis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Theresa Bullis accept?

Health plans from Anthem Blue Cross and Blue Shield list Theresa Bullis 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 Theresa Bullis was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.