ERICA A FULLERTON CNM
NPI 1255379020
Advanced Practice Midwife in Worcester, MA

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
119 BELMONT STREET, WORCESTER, MA 01605(508) 334-8706(508) 793-6849 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Erica A Fullerton Cnm NPPES

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

ERICA A FULLERTON CNM (NPI 1255379020) is an individual advanced practice midwife in Worcester, Massachusetts, licensed in Massachusetts (RN254141) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Boston University School Of Medicine (2004).

NPPES Registry Identity

NPI1255379020
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameERICA A FULLERTONCredential: CNM
Location Address119 BELMONT STREETWorcester, MA 01605-2903
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Fax(508) 793-6849
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2004
Enumeration DateJune 3, 2006
Last NPPES UpdateDecember 27, 2024
NPPES CertifiedDecember 27, 2024
NPI 1255379020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Licenses Licensed in MA · RN254141 Licensed in RI · MW00136
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
119 BELMONT STREET, Worcester, MA 01605

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

Erica A Fullerton Cnm 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 ID6608897673
PECOS Enrollment IDI20051219000340
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.

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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.

Internal Medicine (Rheumatology)
119 BELMONT STREET, RHEUMATOLOGY
WORCESTER, MA 01605
Dietitian, Registered (Nutrition, Pediatric)
119 BELMONT STREET, 5TH FLOOR NICU
WORCESTER, MA 01605
Obstetrics & Gynecology
119 BELMONT STREET
WORCESTER, MA 01605
Nurse Practitioner
119 BELMONT STREET
WORCESTER, MA 01605
Student in an Organized Health Care Education/Training Program
119 BELMONT STREET
WORCESTER, MA 01605
Internal Medicine (Rheumatology)
119 BELMONT STREET, RHEUMATOLOGY
WORCESTER, MA 01605
Nurse Practitioner (Acute Care)
119 BELMONT STREET, SPINCE CENTER
WORCESTER, MA 01605
Nurse Practitioner (Neonatal)
119 BELMONT STREET
WORCESTER, MA 01605

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 Erica Fullerton's NPI number?

The NPI number for Erica Fullerton is 1255379020. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Erica Fullerton located?

Erica Fullerton practices at 119 Belmont Street, Worcester, MA 01605. The listed phone number is (508) 334-8706.

What is Erica Fullerton's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Erica Fullerton enrolled in Medicare?

Yes. Erica Fullerton 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.

What insurance does Erica Fullerton accept?

Health plans from Anthem Blue Cross and Blue Shield list Erica Fullerton 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.

Is Erica Fullerton affiliated with any hospitals?

According to CMS data, Erica Fullerton is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Erica Fullerton was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.