DR. JACQUELINE L FULLERTON D.C.
NPI 1013108257
Chiropractor in Brandon, FL

Q: What is Jacqueline Fullerton's NPI number?

The NPI number for Jacqueline Fullerton is 1013108257. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Q: What is Jacqueline Fullerton's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since August 05, 2007Accepts Medicare Assignment

409 W BLOOMINGDALE AVE, BRANDON, FL 33511(813) 689-1883(813) 684-9145 Get Directions Write a Review

NPPES record last updated: August 5, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jacqueline L Fullerton D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELINE L FULLERTON D.C. (NPI 1013108257) is an individual chiropractor in Brandon, Florida, licensed in Florida (CH9351) and active in the NPI registry since August 2007. She is a graduate of Palmer College Chiropractic - Davenport (2005).

NPPES Registry Identity

NPI1013108257

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. JACQUELINE L FULLERTONCredential: D.C.

Location Address409 W BLOOMINGDALE AVEBrandon, FL 33511-7401

Mailing Address409 W Bloomingdale AveBrandon, FL 33511-7401 · (813) 689-1883 · Fax (813) 684-9145

Phone(813) 689-1883

Fax(813) 684-9145

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - DavenportGraduated 2005

Enumeration DateAugust 5, 2007

✔ NPI 1013108257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in FL · CH9351

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

409 W BLOOMINGDALE AVE, Brandon, FL 33511

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacqueline L Fullerton D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284851742

PECOS Enrollment IDI20140807001302

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

221 services20 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT KEVIN VALDES DC

Chiropractor