Kimberly Sue Ellen Bullard, FNP-BC
Family Nurse Practitioner · Shallotte, NC
Kimberly Sue Ellen Bullard, FNP-BC is a family nurse practitioner with a practice address in Shallotte, North Carolina, and NPI 1003772211, issued on Dec 31, 2025. Check the license (North Carolina 5023712, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kimberly Sue Ellen Bullard
- Credential
- FNP-BC
- Primary taxonomy
- Family Nurse Practitioner 363LF0000X
- License number
- 5023712 NC
Self-reported in NPPES; status is on the state search - Practice location
- 4503 Main St Ste 1, Shallotte, NC 28470
- Phone
- (910) 754-2273
- Enumerated
- Dec 31, 2025
- Record last updated
- May 5, 2026
- Fax
- (910) 754-2254
- Medicare enrollment
- Enrolled (PECOS I20260216002475); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family nurse practitioner records → All 6,631 in North Carolina → Look up another NPI →
Also registered at 4503 Main St Ste 1
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Hannah NicholsonAdult Health Nurse Practitioner1073375481
Verify Kimberly Sue Ellen Bullard in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 5023712Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Rdmg Associates PAShallotte, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kimberly Sue Ellen Bullard among 6,631 family nurse practitioner records in North Carolina
Kimberly Sue Ellen Bullard, FNP-BC is one of 6,631 family nurse practitioner records with a practice address in North Carolina. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 91% of them.
- NPI issued2025 · 91% of these records are older, 3% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2025 · median 2019 among the 4,000 with a school on file
- Record last updated2026 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
17 family nurse practitioner records list a practice address in Shallotte
They are 17 of the 334 NPPES records with a practice address in Shallotte, and 6,631 family nurse practitioner records in North Carolina.
All 6,631 in North Carolina → Every provider in Shallotte → Family Nurse Practitioner nationwide →
The 8 family nurse practitioner records with the nearest ZIP codes
- Rachel Almond, FNP-BCShallotte, NC 284701003106956
- Elizabeth BartonShallotte, NC 284701003374208
- Benjamin Bowden, MSN FNP-CShallotte, NC 284701962105650
- Lauren BrownShallotte, NC 284701265050181
- Madison CyrShallotte, NC 284701649168873
- Nicole Ely, FNP-BCShallotte, NC 284701134825433
- Christine KnowlesShallotte, NC 284701154090413
- Johnny Moyer, N.P.Shallotte, NC 284701962825000
Common questions
What is Kimberly Sue Ellen Bullard, FNP-BC's NPI number?
Kimberly Sue Ellen Bullard, FNP-BC's National Provider Identifier (NPI) is 1003772211, issued on Dec 31, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Kimberly Sue Ellen Bullard, FNP-BC located?
The NPPES record lists a practice address at 4503 Main St Ste 1, Shallotte, NC, 28470. Phone: (910) 754-2273. Providers update this record themselves, so call before visiting.
How can I verify Kimberly Sue Ellen Bullard, FNP-BC's license?
NPPES lists North Carolina license number 5023712, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.