KELSEY BULLOCK
NPI 1972981926
Psychiatry & Neurology - Psychiatry in Loma Linda, CA
About Kelsey Bullock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY BULLOCK (NPI 1972981926) is an individual psychiatry provider in Loma Linda, California, licensed in California (A148182) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelsey Bullock 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelsey Bullock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Norwalk, CA 90650
- Reassigned Medicare billing, California enrollment
- 755 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 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Kelsey Bullock's NPI number?
The NPI number for Kelsey Bullock is 1972981926. It was assigned to this individual provider in the NPPES registry on May 11, 2015.
Where is Kelsey Bullock located?
Kelsey Bullock practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-9532.
What is Kelsey Bullock's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Kelsey Bullock enrolled in Medicare?
Yes. Kelsey Bullock 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.
Which organizations bill Medicare for Kelsey Bullock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Bullock reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Department Of State Hospitals (Norwalk, CA). Each 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 Kelsey Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelsey Bullock was last updated on August 12, 2019. 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.
# Kelsey Bullock · NPI 1972981926
Psychiatry physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since May 11, 2015.
## Identity
- **NPI:** 1972981926 (Entity type: Individual)
- **Enumerated:** May 11, 2015
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** A148182 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354
- **Phone:** (909) 558-9532
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1245605781, Loma Linda, CA); Department Of State Hospitals (NPI 1265406565, Norwalk, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** August 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1972981926) · Data from the CMS NPPES public registry.