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LOUIS M FULTON MD
NPI 1093702383
Psychiatry & Neurology - Child & Adolescent Psychiatry in Winnebago, WI

Active since October 01, 2005PECOS Enrolled
1300 SOUTH DRIVE, WINNEBAGO MENTAL HEALTH INFORMATION, WINNEBAGO, WI 54985(920) 235-4910(920) 235-2931 Get Directions Write a Review

NPPES record last updated: May 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Louis M Fulton Md NPPES

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

LOUIS M FULTON MD (NPI 1093702383) is an individual child & adolescent psychiatry provider in Winnebago, Wisconsin, licensed in Minnesota (41378) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093702383
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameLOUIS M FULTONCredential: MD
Location Address1300 SOUTH DRIVE, WINNEBAGO MENTAL HEALTH INFORMATIONWinnebago, WI 54985-0009
Mailing Address1300 South DriveWinnebago, WI 54985 · (920) 235-4910 · Fax (920) 237-2043
Phone(920) 235-4910
Fax(920) 235-2931
Sole ProprietorNo
Enumeration DateOctober 1, 2005
Last NPPES UpdateMay 11, 2018
✔ NPI 1093702383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MN · 41378
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1300 SOUTH DRIVE, Winnebago, WI 54985
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Other Identifiers 1

Medicaid626325900MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Louis M Fulton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Louis Fulton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Grant Dba Unified Community Services
111 mi
Community/Behavioral Health
1122 PROFESSIONAL DR
Dodgeville, WI 53533
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: County Of Grant
  • 5 clinicians in this Medicare group
NPI 1053468066 (608) 935-2776

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

Other Providers at the Same Location NPPES 19

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

JESSE ELIZABETH CHILDS PA-C
Physician Assistant (Medical)
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
WINNEBAGO MENTAL HEALTH INSTITUTE
Psychiatric Hospital
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
ALEJANDRO A EISMA MD
Internal Medicine
1300 SOUTH DRIVE, WINNEBAGO MENTAL HEALTH INSTITUTE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
KONSTANTIN A MIKHEYEV DO
Family Medicine
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
CLIFFORD K STEPHENS PH.D
Psychologist (Clinical)
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
JENNIFER PARNELL PA-C
Physician Assistant
1300 SOUTH DRIVE
OSHKOSH, WI 54985
Winnebago County (920) 235-4910
MR. JACOB STRANGE PA-C
Physician Assistant
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
DR. ALEXANDER M SCHARKO MD
Psychiatry & Neurology (Psychiatry)
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910

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 Louis Fulton's NPI number?

The NPI number for Louis Fulton is 1093702383. It was assigned to this individual provider in the NPPES registry on October 1, 2005.

Where is Louis Fulton located?

Louis Fulton practices at 1300 South Drive Winnebago Mental Health Information, Winnebago, WI 54985. The listed phone number is (920) 235-4910.

What is Louis Fulton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Louis Fulton enrolled in Medicare?

Yes. Louis Fulton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Louis Fulton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Louis Fulton reassigns Medicare benefits to County Of Grant Dba Unified Community Services (Dodgeville, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Louis Fulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Louis Fulton was last updated on May 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.