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

Q: What is Courtney Fullmer's NPI number?

The NPI number for Courtney Fullmer is 1114508058. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Q: What is Courtney Fullmer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Fullmer was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 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: August 09, 2026.

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

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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

Phone(659) 833-2987

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, UnitedHealthcare.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 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.

DR. AKBAR KHAN SHINWARI MD

Psychiatry & Neurology (Psychiatry)