HANNA CLAIR BULLARD
NPI 1962213967
Nurse Practitioner - Pediatrics in Waterford, MI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hanna Clair Bullard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Hanna Bullard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48201
- Reassigned Medicare billing, Michigan enrollment
- 360 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
WATERFORD, MI 48328
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 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.
Where is Hanna Bullard located?
Hanna Bullard practices at 2561 Elizabeth Lake Rd, Waterford, MI 48328. The listed phone number is (248) 682-3300.
What is Hanna Bullard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Hanna Bullard enrolled in Medicare?
Yes. Hanna Bullard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Hanna Bullard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hanna Bullard reassigns Medicare benefits to University Pediatricians (Detroit, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hanna Bullard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hanna Bullard accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Hanna Bullard 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 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 21 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.
# Hanna Clair Bullard · NPI 1962213967
Pediatrics physician in Waterford, Michigan. Individual provider, active in the CMS NPPES registry since January 17, 2025.
## Identity
- **NPI:** 1962213967 (Entity type: Individual)
- **Enumerated:** January 17, 2025
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 4704415427 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2561 ELIZABETH LAKE RD, Waterford, MI 48328-3313
- **Phone:** (248) 682-3300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Pediatricians (NPI 1033143904, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962213967) · Data from the CMS NPPES public registry.