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

Mr. Jeremy Alan Bullock, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1760825145

Mr. Jeremy Alan Bullock, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lebanon, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
13
Licensed in
PA
In the registry since
2013
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

252 S 4th St
Lebanon, PA 17042-6111
Phone: (717) 270-7500
Fax: (717) 228-1642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 169 Martin Aveunue, Ephrata, PA 17522-1734 — (717) 733-0311
  • 111 S Front St, Harrisburg, PA 17101-2010 — (717) 782-5118
  • 55 Monument Rd, York, PA 17403-5023 — (717) 812-6425
  • 1001 S George St, York, PA 17403-3676 — (717) 812-7687
  • 25 Monument Rd Ste 270, York, PA 17403-5073 — (717) 741-8250

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN528480L (PA)

Record details

NPI number1760825145
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 16, 2013
Last updated in NPPESMarch 19, 2025
Certification dateMarch 17, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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