COURTNEY LYNN FULLMER PMHNP
NPI 1114508058
Nurse Practitioner - Psychiatric/Mental Health in Richmond, IN

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment
1130 N J ST, RICHMOND, IN 47374(659) 833-2987 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2024, Jan 27, 2023, Dec 7, 2021 and 2 more (5 updates tracked since 2021).

About Courtney Lynn Fullmer Pmhnp NPPES

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

COURTNEY LYNN FULLMER PMHNP (NPI 1114508058) is an individual psychiatric/mental health provider in Richmond, Indiana, licensed in Indiana (71011620A) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Reid Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114508058
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCOURTNEY LYNN FULLMERCredential: PMHNP
Location Address1130 N J STRichmond, IN 47374-1913
Mailing Address1100 Reid PkwyRichmond, IN 47374-1157 · (765) 935-8802 · Fax (765) 983-3219
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 20, 2021
Last NPPES UpdateSeptember 11, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1114508058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IN · 71011620A
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 28176654A (IN)
1130 N J ST, Richmond, IN 47374

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

Courtney Lynn Fullmer Pmhnp 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 ID1456758846
PECOS Enrollment IDI20210928002097
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 2024 & 2026 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.
96 services32 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
41 services12 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Reid Health

Acute Care Hospitals · Richmond, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47374 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 17

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

Family Medicine
1130 N J ST
RICHMOND, IN 47374
Family Medicine
1130 N J ST
RICHMOND, IN 47374
Social Worker (Clinical)
1130 N J ST
RICHMOND, IN 47374
Nurse Practitioner (Psychiatric/Mental Health)
1130 N J ST
RICHMOND, IN 47374
Psychiatry & Neurology (Psychiatry)
1130 N J ST
RICHMOND, IN 47374
Nurse Practitioner (Psychiatric/Mental Health)
1130 N J ST
RICHMOND, IN 47374
Psychologist (Health Service)
1130 N J ST
RICHMOND, IN 47374
Social Worker (Clinical)
1130 N J ST
RICHMOND, IN 47374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114508058, enumerated as an "individual" on April 20, 2021.

The provider is located at 1130 N J ST RICHMOND, IN 47374 and the phone number is (659) 833-2987.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource and. Please consult your insurance carrier or call the provider to verify.

Courtney Fullmer is affiliated with: REID HEALTH.