KIMBERLEY ANN FULTON P.A.
NPI 1043218126
Physician Assistant in Grand Haven, MI

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
1445 SHELDON RD STE 300, GRAND HAVEN, MI 49417(616) 296-1500(616) 296-1502 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2024, Dec 7, 2021 (2 updates tracked since 2021).

About Kimberley Ann Fulton P.a. NPPES

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

KIMBERLEY ANN FULTON P.A. (NPI 1043218126) is an individual physician assistant in Grand Haven, Michigan, licensed in Michigan (5601002936) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1043218126
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLEY ANN FULTONCredential: P.A.
Location Address1445 SHELDON RD STE 300Grand Haven, MI 49417-2479
Mailing Address1445 Sheldon Rd Ste 300Grand Haven, MI 49417-2479 · (616) 296-1500 · Fax (616) 296-1502
Fax(616) 296-1502
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
NPI 1043218126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601002936
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1445 SHELDON RD STE 300, Grand Haven, MI 49417

Other Names 1

Former Name (1)Kimberley Ann Herzberg P.a.

Accepted 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

Kimberley Ann Fulton P.a. 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 ID9133126717
PECOS Enrollment IDI20061024000129
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Trinity Health Grand Haven Hospital

Acute Care Hospitals · Grand Haven, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230174
Location1309 Sheldon RdGrand Haven, MI 49417 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49417 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 3

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

Family Medicine
1445 SHELDON RD STE 300
GRAND HAVEN, MI 49417
Otolaryngology (Plastic Surgery within the Head & Neck)
1445 SHELDON RD STE 300
GRAND HAVEN, MI 49417
Family Medicine
1445 SHELDON RD STE 300
GRAND HAVEN, MI 49417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberley Fulton's NPI number?

The NPI number for Kimberley Fulton is 1043218126. It was assigned to this individual provider in the NPPES registry on July 12, 2005. The provider is also known as Kimberley Ann Herzberg P.A..

Where is Kimberley Fulton located?

Kimberley Fulton practices at 1445 Sheldon Rd Ste 300, Grand Haven, MI 49417. The listed phone number is (616) 296-1500.

What is Kimberley Fulton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberley Fulton enrolled in Medicare?

Yes. Kimberley Fulton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberley Fulton accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Kimberley Fulton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kimberley Fulton affiliated with any hospitals?

According to CMS data, Kimberley Fulton is affiliated with Spectrum Health, Trinity Health Muskegon Hospital and Trinity Health Grand Haven Hospital.

When was this NPI record last updated?

The NPPES record for Kimberley Fulton was last updated on July 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.