Marcelle Bullard, PA
NPI 1184722001ActiveIndividual· Physician Assistant· New Berlin, WI
Physician Assistant (PA) in New Berlin, Wisconsin, licensed in WI and IL, with an NPI issued in September 2006. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1184722001 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 21, 2006 |
| Last updated in NPPES | Nov 29, 2021 |
| Certified by provider | Nov 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 3485-023 | WI |
| Physician Assistant, Surgical | 363AS0400X | 085-002401 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WI) |
|---|
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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