1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Nurse Practitioner
  6. NPI Profile

FATUMA FAKARO BULTUM
NPI 1912716838
Nurse Practitioner - Family in Las Vegas, NV

Active since January 06, 2025PECOS Enrolled
5670 W FLAMINGO RD STE A, LAS VEGAS, NV 89103(702) 724-3327 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fatuma Fakaro Bultum NPPES

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

FATUMA FAKARO BULTUM (NPI 1912716838) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (TEMP885949) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912716838
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameFATUMA FAKARO BULTUM
Location Address5670 W FLAMINGO RD STE ALas Vegas, NV 89103-2338
Mailing Address5670 W Flamingo Rd #aLas Vegas, NV 89103 · (702) 724-3327
Phone(702) 724-3327
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1912716838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · TEMP885949
5670 W FLAMINGO RD STE A, Las Vegas, NV 89103
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fatuma Fakaro Bultum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840769477
PECOS Enrollment IDI20260513001755
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89103 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 4

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

SIMON ZERAY ABRAHAM
Nurse Practitioner (Family)
5670 W FLAMINGO RD STE A
LAS VEGAS, NV 89103
Clark County (702) 355-2929
SARON LLC
Nurse Practitioner
5670 W FLAMINGO RD STE A
LAS VEGAS, NV 89103
Clark County (702) 413-0342
FLORENCE GATHONI MURIUKI NP
Nurse Practitioner (Psychiatric/Mental Health)
5670 W FLAMINGO RD STE A
LAS VEGAS, NV 89103
Clark County (702) 413-0342
ESSENTIAL HEALTHCARE LLC
Nurse Practitioner (Family)
5670 W FLAMINGO RD STE A
LAS VEGAS, NV 89103
Clark County (702) 413-0342

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 Fatuma Bultum's NPI number?

The NPI number for Fatuma Bultum is 1912716838. It was assigned to this individual provider in the NPPES registry on January 6, 2025.

Where is Fatuma Bultum located?

Fatuma Bultum practices at 5670 W Flamingo Rd Ste A, Las Vegas, NV 89103. The listed phone number is (702) 724-3327.

What is Fatuma Bultum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Fatuma Bultum enrolled in Medicare?

Yes. Fatuma Bultum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fatuma Bultum was last updated on January 6, 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.