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BRETT A FULKS NP
NPI 1174165310
Nurse Practitioner in Urbana, IL

Active since October 09, 2019PECOS EnrolledAccepts Medicare Assignment
611 W. PARK ST., URBANA, IL 61801(217) 383-3311 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brett A Fulks Np NPPES

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

BRETT A FULKS NP (NPI 1174165310) is an individual nurse practitioner in Urbana, Illinois, licensed in Illinois (209019137) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174165310
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBRETT A FULKSCredential: NP
Location Address611 W. PARK ST.Urbana, IL 61801
Mailing Address611 W. Park St., FapcUrbana, IL 61801
Phone(217) 383-3311
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 9, 2019
Last NPPES UpdateOctober 11, 2019
✔ NPI 1174165310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209019137
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
611 W. PARK ST., Urbana, IL 61801
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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

Brett A Fulks 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 ID8921432253
PECOS Enrollment IDI20191219001989
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
93 services46 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.
57 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers32 claims32 services$16.07 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers24 claims24 services$920.80 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
5 suppliers42 claims42 services$6.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers209 claims210 services$90.78 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers74 claims75 services$33.12 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims660 services$4.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOSELYN JOSEPH MD
Internal Medicine
611 W. PARK ST., HOSPITALIST
URBANA, IL 61801
Champaign County (217) 383-3129
LAUREN RUBARTS OT
Occupational Therapist
611 W. PARK ST.
URBANA, IL 61801
Champaign County (217) 383-3400
CHRISTINE PRINCE CRNA
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Champaign County (217) 383-3141
LENA MARIE CLEMENTS CRNA
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Champaign County (217) 383-3303
BENJAMIN J RHEE MD
Internal Medicine (Clinical Cardiac Electrophysiology)
611 W. PARK ST., CARDIOLOGY
URBANA, IL 61801
Champaign County (217) 904-7000
REBECCA A WAGNER MD
Obstetrics & Gynecology
611 W. PARK ST., OB/GYN
URBANA, IL 61801
Champaign County (217) 383-3140
HOSHANG IRANI PA
Physician Assistant
611 W. PARK ST.
URBANA, IL 61801
Champaign County (217) 383-3313
AUBREY N. HUDSON PA
Physician Assistant
611 W. PARK ST., OB/GYN
URBANA, IL 61801
Champaign County (217) 383-3140

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 Brett Fulks's NPI number?

The NPI number for Brett Fulks is 1174165310. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Where is Brett Fulks located?

Brett Fulks practices at 611 W. Park St., Urbana, IL 61801. The listed phone number is (217) 383-3311.

What is Brett Fulks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brett Fulks enrolled in Medicare?

Yes. Brett Fulks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Brett Fulks affiliated with any hospitals?

According to CMS data, Brett Fulks is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Brett Fulks was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.