HANNA CLAIR BULLARD
NPI 1962213967
Nurse Practitioner - Pediatrics in Waterford, MI

Q: What is Hanna Bullard's NPI number?

The NPI number for Hanna Bullard is 1962213967. It was assigned to this individual provider in the NPPES registry on January 17, 2025.

Q: What is Hanna Bullard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hanna Bullard was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 17, 2025PECOS Enrolled

2561 ELIZABETH LAKE RD, WATERFORD, MI 48328(248) 682-3300 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Hanna Clair Bullard NPPES

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

HANNA CLAIR BULLARD (NPI 1962213967) is an individual pediatrics provider in Waterford, Michigan, licensed in Michigan (4704415427) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962213967

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameHANNA CLAIR BULLARD

Location Address2561 ELIZABETH LAKE RDWaterford, MI 48328-3313

Mailing Address2561 Elizabeth Lake RdWaterford, MI 48328-3313

Phone(248) 682-3300

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 17, 2025

NPPES CertifiedJanuary 17, 2025

✔ NPI 1962213967 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 MI · 4704415427

2561 ELIZABETH LAKE RD, Waterford, MI 48328

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hanna Clair Bullard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264919786

PECOS Enrollment IDI20260127001054

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 48328 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

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 14

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

DEVYANI KHAMBETE, M.D.,P.C.

Pediatrics