Sheila Diane Bullock, FNP-C - Medicare Nurse Practitioner in Kenmare, ND

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Sheila Diane Bullock, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Kenmare, North Dakota. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Good Samaritan Hospital Association, Lakewood Health Center and her current practice location is 307 1st Ave Nw, Kenmare, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 385-4283.

Sheila Diane Bullock is licensed to practice in Mississippi (license number 902510) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366943334.

Contact Information

Sheila Diane Bullock, FNP-C
307 1st Ave Nw,
Kenmare, ND 58746-7104
(701) 385-4283
Not Available

Map and Direction




Provider's Profile

Full NameSheila Diane Bullock
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location307 1st Ave Nw, Kenmare, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sheila Diane Bullock graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1366943334
  • Provider Enumeration Date: 02/26/2018
  • Last Update Date: 02/10/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8729342381
  • Enrollment ID: I20210115001282

Medical Identifiers

Medical identifiers for Sheila Diane Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366943334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R48267 (North Dakota)Secondary
363L00000XNurse Practitioner 2495886 (Minnesota)Secondary
363LF0000XNurse Practitioner - Family 902510 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Heart Of America Medical CenterRugby, NDHospital
St Andrew's HospitalBottineau, NDHospital
West River Regional Medical Center-cahHettinger, NDHospital
Presentation Medical CenterRolla, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Good Samaritan Hospital Association600271670121
Lakewood Health Center569868792910

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sheila Diane Bullock allows following entities to bill medicare on her behalf.
Entity NameTrinity Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083653752
PECOS PAC ID: 7911816020
Enrollment ID: O20031106000316
Entity NameMercy Hospital Of Valley City
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477549111
PECOS PAC ID: 8729997564
Enrollment ID: O20040701000086
Entity NameTrinity Kenmare Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649226671
PECOS PAC ID: 9931018777
Enrollment ID: O20040702000319
Entity NameCarrington Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558389338
PECOS PAC ID: 0547177552
Enrollment ID: O20040810000314
Entity NamePresentation Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265404958
PECOS PAC ID: 5991764045
Enrollment ID: O20041005001139
Entity NameLisbon Area Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811168958
PECOS PAC ID: 4486562873
Enrollment ID: O20041008000975
Entity NameWest River Health Services
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1588763247
PECOS PAC ID: 0042127045
Enrollment ID: O20100909000218
Entity NamePresentation Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1265404958
PECOS PAC ID: 5991764045
Enrollment ID: O20101029001367
Entity NameSt Andrews Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1306903331
PECOS PAC ID: 4880505999
Enrollment ID: O20160107002139
Entity NameSanford Health Network North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366478760
PECOS PAC ID: 8022206663
Enrollment ID: O20171226001068

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sheila Diane Bullock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sheila Diane Bullock, FNP-C
3140 Lowry Rd,
Lewisburg, TN 37091-6334

Ph: (850) 449-4092		Sheila Diane Bullock, FNP-C
307 1st Ave Nw,
Kenmare, ND 58746-7104

Ph: (701) 385-4283

Reviews and Comments


Nurse Practitioner Nurses in Kenmare, ND


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.