NANCY FULMORE AGACNP-BC
NPI 1023666146
Nurse Practitioner - Gerontology in Mesa, AZ

Q: What is Nancy Fulmore's NPI number?

The NPI number for Nancy Fulmore is 1023666146. It was assigned to this individual provider in the NPPES registry on September 2, 2019. The provider is also known as Nancy Appadurai Rn.

Q: What is Nancy Fulmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Fulmore was last updated on December 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 02, 2019PECOS EnrolledAccepts Medicare Assignment

6553 E BAYWOOD AVE STE 205, MESA, AZ 85206(480) 626-2020(480) 626-2022 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 19, 2019, Sep 11, 2019, Sep 2, 2019 (3 updates tracked since 2019).

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About Nancy Fulmore Agacnp-bc NPPES

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

NANCY FULMORE AGACNP-BC (NPI 1023666146) is an individual gerontology provider in Mesa, Arizona, licensed in Arizona (231655) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023666146

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameNANCY FULMORECredential: AGACNP-BC

Location Address6553 E BAYWOOD AVE STE 205Mesa, AZ 85206-1754

Mailing Address6622 N 91st Ave, Ste 220Glendale, AZ 85305-2569 · (602) 759-6883 · Fax (602) 224-3358

Phone(480) 626-2020

Fax(480) 626-2022

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 2, 2019

Last NPPES UpdateDecember 19, 20193 updates tracked since enumeration

✔ NPI 1023666146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in AZ · 231655

6553 E BAYWOOD AVE STE 205, Mesa, AZ 85206

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Other Names 1

Former Name (1)Nancy Appadurai Rn

Other Identifiers 1

Medicaid586587AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nancy Fulmore Agacnp-bc 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 ID1254591704

PECOS Enrollment IDI20191011001926

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nancy Fulmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Akdhc - Fountain Hills Family Practice

14 mi

Nephrology

16838 E PALISADES BLVD, BLDG C, STE 153, AKDHC LLC
Fountain Hills, AZ 85268

Reassigned Medicare billing, Arizona enrollment
Medicare enrollment name: Akdhc LLC
155 clinicians in this Medicare group

NPI 1871745752 (480) 816-3131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

46 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

AKDHC, LLC