Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA L FULTZ NP
NPI 1114445897
Nurse Practitioner - Family in Springfield, IL

Q: What is Jessica Fultz's NPI number?

The NPI number for Jessica Fultz is 1114445897. It was assigned to this individual provider in the NPPES registry on September 1, 2017. The provider is also known as Jessica L Cope.

Q: What is Jessica Fultz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Fultz was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 01, 2017PECOS Enrolled

747 N RUTLEDGE ST FL 4, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, Nov 14, 2019, Sep 4, 2019 and 2 more (5 updates tracked since 2017).

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About Jessica L Fultz Np NPPES

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

JESSICA L FULTZ NP (NPI 1114445897) is an individual family provider in Springfield, Illinois, licensed in Illinois (209.035650) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Lewisgale Hospital Montgomery, and maintains a secondary practice location in Blacksburg.

NPPES Registry Identity

NPI1114445897

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA L FULTZCredential: NP

Location Address747 N RUTLEDGE ST FL 4Springfield, IL 62702-6700

Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (615) 373-7600

Phone(217) 545-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 1, 2017

Last NPPES UpdateAugust 4, 20265 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1114445897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.035650

Also ListedNurse PractitionerTaxonomy 363L00000X · License 0024175078 (VA)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 0024175078 (VA)

747 N RUTLEDGE ST FL 4, Springfield, IL 62702

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Other Names 1

Former Name (1)Jessica L Cope

Secondary Practice Location 1

Location 1801 Davis StBlacksburg, VA 24060-7008 · Phone (540) 961-0218

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

Jessica L Fultz Np 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 ID4789959974

PECOS Enrollment IDI20171016000359

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 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

166 services161 patients

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.

157 services147 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.

118 services116 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

87 services17 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

47 services47 patients

Hospital Affiliations CMS Care Compare 2

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

Lewisgale Hospital Montgomery

Acute Care Hospitals · Blacksburg, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490110

Location3700 South Main StreetBlacksburg, VA 24060 · Montgomery County

Emergency services Birthing friendly

Lewisgale Hospital Pulaski

Acute Care Hospitals · Pulaski, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490116

Location2400 Lee HighwayPulaski, VA 24301 · Pulaski County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

DR. MUKUL BHATTARAI MD.

Internal Medicine (Cardiovascular Disease)