Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Kelly Michelle Bullock, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1720572225

Mrs. Kelly Michelle Bullock, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Lynchburg, Virginia. Qualified in 2018, 8 years ago. Practices with Granville Health System, a 80-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
8
Licensed in
NC, VA
In the registry since
2018
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone: (704) 942-4854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2301 Erwin Rd, Durham, NC 27705-4699 — (704) 942-4854
  • 601 N Elm St, High Point, NC 27262-4331 — (336) 878-6000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 5919 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 121741 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 0024181581 (VA)

Record details

NPI number1720572225
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 18, 2018
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Granville Health System — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients135
Services billed 140 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Granville Health System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 80 clinicians in the practice; 12 are shown here.

Other providers in Lynchburg