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

Mrs. Mary K. Bullock, APRN

Individual provider Family Nurse Practitioner · NPI 1306394937

Mrs. Mary K. Bullock, APRN is a Nurse Practitioner in Butler, Kentucky. Graduated from University of Cincinnati College of Medicine in 2016, 10 years ago. Practices with Ultra Health LLC, a 162-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
10
Trained at
University of Cincinnati College of Medicine
Licensed in
KY
In the registry since
2016
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

305 Taylor St # 402
Butler, KY 41006-1042
Phone: (731) 394-1145
Show map & directions

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

Additional practice locations (1)

  • 1 Medical Village Dr, Edgewood, KY 41017-3403 — (859) 371-1153

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3010516 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3010516 (KY)

Record details

NPI number1306394937
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedSeptember 12, 2016
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Ultra Health Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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