MRS. GRACE TAYLOR FULKERSON PA
NPI 1053120329
Physician Assistant in Rogers, AR
About Mrs. Grace Taylor Fulkerson Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. GRACE TAYLOR FULKERSON PA (NPI 1053120329) is an individual physician assistant in Rogers, Arkansas, licensed in Arkansas (PA-1364) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Grace Taylor Fulkerson Pa 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Grace Fulkerson's NPI number?
The NPI number for Grace Fulkerson is 1053120329. It was assigned to this individual provider in the NPPES registry on January 2, 2025.
Where is Grace Fulkerson located?
Grace Fulkerson practices at 2029 S Hampton Pl, Rogers, AR 72758. The listed phone number is (479) 250-0289.
What is Grace Fulkerson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Grace Fulkerson enrolled in Medicare?
Yes. Grace Fulkerson 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 Grace Fulkerson accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Grace Fulkerson 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.
When was this NPI record last updated?
The NPPES record for Grace Fulkerson was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.
# Mrs. Grace Taylor Fulkerson, PA · NPI 1053120329
Physician Assistant physician in Rogers, Arkansas. Individual provider, active in the CMS NPPES registry since January 2, 2025.
## Identity
- **NPI:** 1053120329 (Entity type: Individual)
- **Enumerated:** January 2, 2025
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA-1364 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2029 S HAMPTON PL, Rogers, AR 72758-1352
- **Phone:** (479) 250-0289
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053120329) · Data from the CMS NPPES public registry.