FULCRUM HEALTH & WELLNESS
NPI 1124512322
Nurse Practitioner - Family in Oklahoma City, OK

Active since June 20, 2018
1601 SW 89TH ST STE D100, OKLAHOMA CITY, OK 73159(405) 546-7888(844) 518-2784 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 7, 2021, Jun 20, 2018 (2 updates tracked since 2018).

About Fulcrum Health & Wellness NPPES

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

FULCRUM HEALTH & WELLNESS (NPI 1124512322) is a healthcare organization registered as a family in Oklahoma City, Oklahoma and active in the NPI registry since June 2018. The organization lists Sonya Diane Fergeson, Office Manager And Co-owner, as its authorized official.

NPPES Registry Identity

NPI1124512322
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFULCRUM CLINIC LLC
Location Address1601 SW 89TH ST STE D100Oklahoma City, OK 73159-6378
Mailing Address1601 Sw 89th St Ste D100Oklahoma City, OK 73159-6378 · (405) 546-7888 · Fax (844) 518-2784
Fax(844) 518-2784
Organization SubpartNo
Authorized OfficialSonya Diane FergesonOffice Manager And Co-owner · (405) 546-7888
Enumeration DateJune 20, 2018
Last NPPES UpdateDecember 7, 20212 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
✔ NPI 1124512322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 72566
1601 SW 89TH ST STE D100, Oklahoma City, OK 73159

Other Names 1

Doing Business AsFulcrum Health & Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fulcrum Health & Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fulcrum Health & Wellness, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1497170526
1601 SW 89TH ST STE D100
Oklahoma City, OK 73159
(405) 546-7888
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275192254
1776 E ROBINSON ST
Norman, OK 73071
(405) 360-5600
✔ PECOS✔ Accepts Medicare13 mi

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

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 Fulcrum Clinic LLC's NPI number?

The NPI number for Fulcrum Clinic LLC is 1124512322. It was assigned to this organization in the NPPES registry on June 20, 2018. The provider is doing business as Fulcrum Health & Wellness.

Where is Fulcrum Clinic LLC located?

Fulcrum Clinic LLC is located at 1601 SW 89th St Ste D100, Oklahoma City, OK 73159. The listed phone number is (405) 546-7888.

What is Fulcrum Clinic LLC's specialty?

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

Is Fulcrum Clinic LLC enrolled in Medicare?

Yes. Fulcrum Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fulcrum Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Fulcrum Clinic LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fulcrum Clinic LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Fulcrum Clinic LLC 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 Fulcrum Clinic LLC was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.