CHAD BULLOCK (FNP-C) – Nurse Practitioner, NPI 1447642517

CHAD BULLOCK (FNP-C) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 001894 (NV). The NPI Number for CHAD BULLOCK (FNP-C) is 1447642517

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
CHAD BULLOCK (FNP-C)
NPI
1447642517
Phone
(725) 200-3232
Address
2435 FIRE MESA ST STE 120
Enumeration Date
26 February 2015
Last Update Date
13 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7757277959
Graduation Year
2014 (12 years ago)
PAC ID
1052630860
Group Practice PAC ID
1254875255
Professional Enrollment ID
I20150429000970
Address ID
NV890485464PA2780XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

2,949 NURSE PRACTITIONER in NV

Provider Addresses for CHAD BULLOCK (FNP-C)

  • 2435 FIRE MESA ST STE 120

    LAS VEGAS, NV 891289009

    Phone: (725) 200-3232

    Fax: (725) 200-3233

    Type: Mailing

  • 1321 S RAINBOW BLVD STE 101

    LAS VEGAS, NV 891469047

    Phone: (702) 476-2287

    Fax: (702) 476-2035

    Type: Location

  • 8420 S EASTERN AVE STE 101

    LAS VEGAS, NV 891232875

    Phone: (702) 483-3554

    Fax: (725) 267-1020

    Type: Location

  • 1134 BLITZEN DR

    HENDERSON, NV 890124472

    Phone: (858) 361-5725

    Type: Mailing

  • 2662 W HORIZON RIDGE PKWY

    HENDERSON, NV 890522844

    Phone: (702) 566-3814

    Type: Location

  • 1321 S Rainbow Blvd Ste 101

    Las Vegas, NV 891469047

    Phone: (702) 476-2287

    Fax: (702) 476-2035

    Type: Location

  • 8379 W SUNSET RD STE 210

    LAS VEGAS, NV 891132243

    Phone: (725) 200-3232

    Fax: (725) 220-6389

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $184.

Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: ABBVIE INC. ($76).

Total Amount

$184

General + Research + Ownership

Payments

9

Total payment records

General Amount

$184

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-04

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: 2015-04-29

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
I20150429000970INurse PractitionerNVTBD

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 89128)

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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: 1254875255View full group profile
NameSpecialtyState
Sports Medicine, Physical Medicine And RehabilitationNV
C H I R O P R A C T I CNV

Reviews

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Frequently asked questions

How do payers reference CHAD BULLOCK (FNP-C)?
For CHAD BULLOCK (FNP-C), use NPI 1447642517 as the unique 10-digit identifier.
Is there an active status for CHAD BULLOCK (FNP-C)?
For scheduling context, CHAD BULLOCK (FNP-C) is shown as active in the registry.
What kind of doctor is CHAD BULLOCK (FNP-C)?
CHAD BULLOCK (FNP-C) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with CHAD BULLOCK (FNP-C)?
Directory geography for CHAD BULLOCK (FNP-C) centers on Las Vegas, Nevada.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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