Mary Kay Bultman, PMHNP
NPI 1639627110ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Milwaukee, WI
Nurse Practitioner, Psych/Mental Health (PMHNP) with Lighthouse Clinic LLC, practicing in Milwaukee, Wisconsin. Part D covered 1,362 prescriptions written in 2024, 91% of them generic. Alkermes, Inc. was the largest of 7 companies reporting payments in 2025, $1,421 in all, mostly food and beverage.
Overview
| NPI | 1639627110 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP |
| Sole proprietor | No |
| NPI issued | Sep 14, 2016 |
| Last updated in NPPES | Sep 30, 2026 |
| Certified by provider | Sep 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 7252-33 | WI |
| Nurse Practitioner | 363L00000X | 60996-30 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,362 · 1,582 30-day fills |
|---|---|
| Patients | 69 |
| Total drug cost | $246,838 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Lighthouse Clinic LLCMilwaukee, WI · 15 clinicians
Industry payments (Open Payments)
- 2025$1,421 · 46 payments from 7 companies
- 2024$1,149 · 44 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alkermes, Inc. | $580.31 | 23 |
| Teva Pharmaceuticals USA, Inc. | $358.16 | 10 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $205.03 | 5 |
| Neurocrine Biosciences, Inc. | $140.39 | 2 |
| Abbvie Inc. | $89.04 | 4 |
What the 2025 payments were for
- Food and Beverage$1,309 · 45 payments
- Education$111.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 140 psychiatric nurse practitioners in Milwaukee · All psychiatric nurse practitioners in Wisconsin