EDWIN BULLOCH CRNA
NPI 1922311133
Nurse Anesthetist, Certified Registered in Vernal, UT

Q: What is Edwin Bulloch's NPI number?

The NPI number for Edwin Bulloch is 1922311133. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Q: What is Edwin Bulloch's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Edwin Bulloch was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 July 16, 2010Accepts Medicare Assignment

100/100

CMS Quality Rating

150 W 100 N, VERNAL, UT 84078(207) 659-8810 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Edwin Bulloch Crna NPPES

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

EDWIN BULLOCH CRNA (NPI 1922311133) is an individual nurse anesthetist, certified registered in Vernal, Utah, licensed in Utah (5419392-4406) and active in the NPI registry since July 2010. He is affiliated with Uintah Basin Medical Center and is a graduate of Other (2006).

NPPES Registry Identity

NPI1922311133

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameEDWIN BULLOCHCredential: CRNA

Location Address150 W 100 NVernal, UT 84078-2036

Mailing Address827 W 350 SVernal, UT 84078-2941 · (207) 659-8810

Phone(207) 659-8810

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 16, 2010

Last NPPES UpdateMay 29, 2012

✔ NPI 1922311133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in UT · 5419392-4406✔ Licensed in ME · AA103013

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

150 W 100 N, Vernal, UT 84078

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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

Edwin Bulloch Crna 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 ID3577688068

PECOS Enrollment IDI20141126001313

Areas of Expertise CMS Part B claims

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.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

18 services16 patients

Hospital Affiliations CMS Care Compare

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

Uintah Basin Medical Center

Acute Care Hospitals · Roosevelt, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number460019

Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84078 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

91.69

Promoting Interoperability

100

Improvement Activities

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.

HOSPITALIST MEDICINE PHYSICIANS OF UTAH -TCG LLC

Emergency Medicine

150 W 100 N
VERNAL, UT 84078

Uintah County (615) 377-5658

HADEN BUNDERSON

Physical Therapist

150 W 100 N
VERNAL, UT 84078

Uintah County (435) 789-6757

ASHLEY VALLEY MEDICAL CENTER LLC

Physical Therapist

150 W 100 N
VERNAL, UT 84078

Uintah County (435) 789-3342

ASHLEY VALLEY PHYSICIAN PRACTICE LLC

Obstetrics & Gynecology

150 W 100 N
VERNAL, UT 84078

Uintah County (435) 789-6962

ASHLEY VALLEY MEDICAL CENTER

Pharmacy

150 W 100 N
VERNAL, UT 84078

Uintah County (435) 789-3342

BENJAMIN J VELTRI MD PLLC

Surgery

150 W 100 N, SUITE S102
VERNAL, UT 84078

Uintah County (435) 789-8720

KAYCE CRONE HOUGE

Nurse Practitioner (Women's Health)

150 W 100 N
VERNAL, UT 84078

Uintah County (435) 789-3342

JUSTIN R WATKINS

Physical Therapist

150 W 100 N
VERNAL, UT 84078

Uintah County (435) 781-6811

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 Edwin Bulloch's NPI number?

The NPI number for Edwin Bulloch is 1922311133. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Edwin Bulloch located?

Edwin Bulloch practices at 150 W 100 N, Vernal, UT 84078. The listed phone number is (207) 659-8810.

What is Edwin Bulloch's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Edwin Bulloch enrolled in Medicare?

Yes. Edwin Bulloch 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.

Is Edwin Bulloch affiliated with any hospitals?

According to CMS data, Edwin Bulloch is affiliated with Uintah Basin Medical Center.

When was this NPI record last updated?

The NPPES record for Edwin Bulloch was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.