MRS. KELLY JEAN BULK (PA-C) – Physician Assistant, NPI 1033144340
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
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Provider Addresses for MRS. KELLY JEAN BULK (PA-C)
11, Maple Street, Fisher's Grant 24, Pictou First Nation, Pictou County, Nova Scotia, B0K 1X0, Canada
PO BOX 7
GRANT, MI 493277900
Phone: (231) 834-0444
Fax: (231) 834-0200
Type: Mailing
Maple, Wilson Creek, Grant County, Washington, 98860, United States
GRANT, MI 49327
Phone: (231) 834-0444
Fax: (231) 834-0200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $738.
Total Amount is formed as General ($738) + Research ($0) + Ownership ($0) = $738.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($349).
Total Amount
$738
General + Research + Ownership
Payments
44
Total payment records
General Amount
$738
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 |
|---|---|
| ABBVIE INC. | $349 |
| Otsuka America Pharmaceutical, Inc. | $155 |
| ITI, Inc. | $66 |
| Lundbeck LLC | $57 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $45 |
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: 2004-02-11
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 |
|---|---|---|---|---|
| I20040211000554 | I | Physician Assistant | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49327)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 83036 | Hemoglobin A1C level | 106 | 39 |
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