Kimberly Sue Ellen Bullard, FNP-BC
NPI 1003772211ActiveIndividual· Nurse Practitioner, Family· Shallotte, NC
Nurse Practitioner, Family (FNP-BC) with Rdmg Associates PA, practicing in Shallotte, North Carolina. Enrolled in Medicare as practitioner - nurse practitioner. Lists Novant Health Brunswick Medical Center as a hospital affiliation.
Overview
| NPI | 1003772211 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | No |
| NPI issued | Dec 31, 2025 |
| Last updated in NPPES | May 5, 2026 |
| Certified by provider | May 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 5023712 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NC) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Rdmg Associates PAShallotte, NC · 27 clinicians
Hospital affiliation
- Novant Health Brunswick Medical CenterSupply, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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