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Marcelle Bullard, PA

Physician Assistant in New Berlin, WI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184722001

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Registry record

Entity type Individual (Type 1)
Name Marcelle Bullard
Credential PA
Sex Female
Practice address 14555 W National Ave, New Berlin, WI, 53151
Enumeration date Sep 21, 2006
Last updated in NPPES Nov 29, 2021

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085-002401 (IL) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 3485-023 (WI) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier Type State Issuer
385-001224 Other IL IL CONTROL SUBSTANCE LIC
100043751 Medicaid WI -
085-002401 Other IL IL STATE LIC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1184722001 active?
Yes, as of the latest NPPES snapshot, NPI 1184722001 is active (record last updated 2021-11-29).
How do I verify Marcelle Bullard's NPI record?
Cross-check NPI 1184722001 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-29.