Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Marie Bullis, MSN, APNP

Individual provider Registered Nurse · NPI 1558922492

Lisa Marie Bullis, MSN, APNP is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2019, 7 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2019
Specialties on file
3
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 955-0728
Fax: (414) 805-4606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9484 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 195913-30 (WI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 9484-33 (WI)

Record details

NPI number1558922492
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , APNP
Sole proprietorNo
NPI enumeratedJune 21, 2019
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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