ELIZABETH AGUANTA BULATAO (FNP) – Adult Health Nurse Practitioner, NPI 1992888754
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for ELIZABETH AGUANTA BULATAO (FNP)
141 HIDDEN LAKES DR
BRUNSWICK, GA 315253064
Phone:
Type: Mailing
2500 Starling St Ste 401
Brunswick, GA 315204293
Phone: (912) 264-6303
Fax: (912) 264-6323
Type: Location
3222 SHRINE RD STE A
BRUNSWICK, GA 315204357
Phone: (912) 264-6303
Fax: (912) 264-6323
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 94 Open Payments records for all available years, with a total value of $2,457.
Total Amount is formed as General ($2,457) + Research ($0) + Ownership ($0) = $2,457.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($262).
Total Amount
$2,457
General + Research + Ownership
Payments
94
Total payment records
General Amount
$2,457
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $262 |
| Dexcom, Inc. | $261 |
| ABBVIE INC. | $252 |
| Medtronic, Inc. | $213 |
| Paratek Pharmaceuticals, Inc. | $163 |
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: 2007-05-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070517000311 | I | Nurse Practitioner | GA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 212 | 118 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 54 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 52 | 52 | $0 |
| G0008 | Administration of influenza virus vaccine | 22 | 21 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 20 | 19 | $0 |
Insurance plans in this area (ZIP 31525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Internal Medicine | GA | |
| - | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | GA | |
| - | GA | |
| - | GA |
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