JENNIFER C BULCOCK (MD) – Family Medicine Physician, NPI 1194023010

JENNIFER C BULCOCK (MD) is a healthcare provider. based in Springfield, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 04-41689 (KS). The NPI Number for JENNIFER C BULCOCK (MD) is 1194023010

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER C BULCOCK (MD)
NPI
1194023010
Phone
Not provided
Address
1423 N JEFFERSON AVE
Enumeration Date
1 March 2011
Last Update Date
12 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
7852293367
Graduation Year
2016 (10 years ago)
PAC ID
1951638667
Group Practice PAC ID
4486996907
Professional Enrollment ID
I20190802002129
Address ID
KS660673537OT1301XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for JENNIFER C BULCOCK (MD)

  • 1423 N JEFFERSON AVE

    SPRINGFIELD, MO 658021917

    Phone:

    Type: Mailing

  • 536 W 4TH AVE

    GARNETT, KS 660321355

    Phone: (785) 448-2674

    Fax: (785) 448-3091

    Type: Location

  • 22450 S HARRISON ST STE 100

    SPRING HILL, KS 660838882

    Phone: (913) 592-2720

    Fax: (913) 592-2725

    Type: Location

  • 424 Main St

    Wellsville, KS 660928878

    Phone: (785) 883-4863

    Fax: (785) 883-4038

    Type: Location

  • 1401 Baptiste Dr Ste A

    Paola, KS 660711888

    Phone: (913) 294-2305

    Fax: (913) 294-5403

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 118 Open Payments records for all available years, with a total value of $1,636.

Total Amount is formed as General ($1,636) + Research ($0) + Ownership ($0) = $1,636.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($432).

Total Amount

$1,636

General + Research + Ownership

Payments

118

Total payment records

General Amount

$1,636

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

View all Open Payments →|Open Payments Risk Radar →

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: 2019-08-02

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
I20190802002129IFamily PracticeKSTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes330211$0
99213Established patient office or other outpatient visit, 20-29 minutes140104$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7070$0
G0444Annual depression screening, 5 to 15 minutes6262$0
G0008Administration of influenza virus vaccine4242$0
View full utilization report →

Insurance plans in this area (ZIP 65802)

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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: 4486996907View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)KS
-KS
U R O L O G YKS
Family PracticeKS
Internal Medicine, Pulmonary DiseaseKS
Family PracticeKS
O B S T E T R I C S/ G Y N E C O L O G YKS
Pulmonary Disease, Internal Medicine, Sleep Medicine, Physical Medicine And RehabilitationMA
Mental Health CounselorKS
O B S T E T R I C S/ G Y N E C O L O G YKS

Reviews

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Frequently asked questions

What is the 10-digit NPI for JENNIFER C BULCOCK (MD)?
JENNIFER C BULCOCK (MD) — NPI 1194023010 — is the standard way to identify this listing.
Is JENNIFER C BULCOCK (MD) still practicing?
JENNIFER C BULCOCK (MD) is currently listed as active in the public NPI registry.
What is JENNIFER C BULCOCK (MD) best known for clinically?
Directory data describes JENNIFER C BULCOCK (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JENNIFER C BULCOCK (MD) on a map?
Expect Springfield, Missouri as a primary anchor for JENNIFER C BULCOCK (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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