JUDITH L WULLER (MD) – Emergency Medicine Physician, NPI 1114942174

JUDITH L WULLER (MD) is a healthcare provider. based in Fort worth, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. The NPI Number for JUDITH L WULLER (MD) is 1114942174

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
JUDITH L WULLER (MD)
NPI
1114942174
Phone
(817) 451-4208
Address
PO BOX 8882
Enumeration Date
12 July 2006
Last Update Date
19 October 2007

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6184432177
Graduation Year
1989 (37 years ago)
PAC ID
8426951989
Group Practice PAC ID
0345481255
Professional Enrollment ID
I20040130000922
Address ID
IL622861820SP818XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

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Provider Addresses for JUDITH L WULLER (MD)

  • Fort Worth Jack D. Watson Post Office, 4600, Mark IV Parkway, Fort Worth, Tarrant County, Texas, 76161, United States

    FORT WORTH, TX 761240882

    Phone: (817) 451-4208

    Type: Mailing

  • 211, South 3rd Street, Belleville, Saint Clair County, Illinois, 62220, United States

    BELLEVILLE, IL 622201915

    Phone: (618) 234-2120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-05-04 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($115).

Total Amount

$115

General + Research + Ownership

Payments

1

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-04

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: 2004-01-30

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
I20040130000922IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making7974$0
99284Emergency department visit with moderate level of medical decision making4644$0
99283Emergency department visit with low level of medical decision making1511$0
View full utilization report →

Insurance plans in this area (ZIP 76124)

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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: 0345481255View full group profile
NameSpecialtyState
Internal Medicine, Emergency MedicineMS
Emergency MedicineTX
Emergency MedicineIL
Emergency MedicineIL
Emergency Medicine, Internal MedicineMO
-MO
General PracticeCO
Emergency MedicineMO
Emergency MedicineTX
Emergency MedicineMI

Reviews

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Frequently asked questions

Can I verify JUDITH L WULLER (MD) with an NPI only?
You can start verification with NPI 1114942174 for JUDITH L WULLER (MD), then check state licensing separately.
Is JUDITH L WULLER (MD) listed as active for patients and plans?
The listing shows JUDITH L WULLER (MD) as active in the NPI system.
What healthcare role does JUDITH L WULLER (MD) hold?
Scheduling teams often label JUDITH L WULLER (MD) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JUDITH L WULLER (MD) based?
JUDITH L WULLER (MD) is tied to Fort Worth, Texas in the data we show; additional addresses may exist on the full record.
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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