DR. EMILY BULSON (D.O.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1194352708

DR. EMILY BULSON (D.O.) is a healthcare provider. based in Pinellas park, Florida. specializing in PATHOLOGY. They hold the professional credentials D.O.. They hold a License No. 21396 (FL). The NPI Number for DR. EMILY BULSON (D.O.) is 1194352708

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. EMILY BULSON (D.O.)
NPI
1194352708
Phone
Not provided
Address
8455 66TH ST N
Enumeration Date
24 March 2020
Last Update Date
13 September 2024

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
7275450109
Graduation Year
2020 (6 years ago)
PAC ID
9436680865
Group Practice PAC ID
4385785880
Professional Enrollment ID
I20241009001116
Address ID
FL337811206PI8455XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

960 PATHOLOGY in FL

Provider Addresses for DR. EMILY BULSON (D.O.)

  • 8455 66TH ST N

    PINELLAS PARK, FL 337811206

    Phone:

    Type: Mailing

  • 11100 EUCLID AVE

    CLEVELAND, OH 441061716

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241009001116IPathologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33781)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385785880View full group profile
NameSpecialtyState
-FL
P A T H O L O G YFL
P A T H O L O G YTX
P A T H O L O G YFL
P A T H O L O G YFL
P A T H O L O G YFL

Reviews

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Frequently asked questions

What number should I use to identify DR. EMILY BULSON (D.O.) for billing?
Administrative and clinical systems typically use NPI 1194352708 for DR. EMILY BULSON (D.O.).
Is DR. EMILY BULSON (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DR. EMILY BULSON (D.O.) as active.
What type of care does DR. EMILY BULSON (D.O.) provide?
DR. EMILY BULSON (D.O.)'s profile centers on Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. EMILY BULSON (D.O.)?
The directory associates DR. EMILY BULSON (D.O.) with Pinellas Park, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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