Kelly Michelle Bullock, CRNA
NPI 1720572225ActiveIndividual· Nurse Anesthetist, Certified Registered· Lynchburg, VA
Nurse Anesthetist, Certified Registered (CRNA) with Duke Health Integrated Practice, Inc and 2 other groups, practicing in Lynchburg, Virginia. Medicare paid $13,228 for services to 135 patients in 2024. Lists Granville Health Systems and 1 other hospital as hospital affiliations.
Overview
| NPI | 1720572225 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jun 18, 2018 |
| Last updated in NPPES | Mar 3, 2026 |
| Certified by provider | Mar 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 5919 | NC |
| Nurse Anesthetist, Certified Registered | 367500000X | 121741 | NC |
| Nurse Anesthetist, Certified Registered | 367500000X | 0024181581 | VA |
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 - Certified Registered Nurse Anesthetist (CRNA) (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 135 |
|---|---|
| Services billed | 140 across 40 procedure codes |
| Paid by Medicare | $13,228 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Duke Health Integrated Practice, IncDurham, NC · 3,185 clinicians
- East Carolina Anesthesia Associates PLLCGreenville, NC · 696 clinicians
- Granville Health SystemOxford, NC · 79 clinicians
Hospital affiliations
- Granville Health SystemsOxford, NC
- Wakemed, Cary HospitalCary, 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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