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BRENTENEY FORTUNE FNP-C, CRNP
NPI 1275357121
Nurse Practitioner - Family in Fulton, MS

Active since November 07, 2024PECOS EnrolledAccepts Medicare Assignment
101 HOUSTON LAKE RD, FULTON, MS 38843(662) 891-1889 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2026, May 1, 2026, Apr 14, 2026 and 2 more (5 updates tracked since 2024).

About Brenteney Fortune Fnp-c, Crnp NPPES

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

BRENTENEY FORTUNE FNP-C, CRNP (NPI 1275357121) is an individual family provider in Fulton, Mississippi, licensed in Mississippi (908070) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275357121
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRENTENEY FORTUNECredential: FNP-C, CRNP
Location Address101 HOUSTON LAKE RDFulton, MS 38843-8992
Mailing Address101 Houston Lake RdFulton, MS 38843-8992
Phone(662) 891-1889
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 7, 2024
Last NPPES UpdateAugust 13, 20265 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1275357121 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
Licenses✔ Licensed in MS · 908070✔ Licensed in AL · 3-002837
101 HOUSTON LAKE RD, Fulton, MS 38843
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brenteney Fortune Fnp-c, Crnp 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 ID1254896673
PECOS Enrollment IDI20260716002718
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.

Medicare Billing Reassignment

Medicare enrollment records show Brenteney Fortune reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Agape Medical Clinic PC
25 mi
Family
1911 MILITARY ST S
Hamilton, AL 35570
  • Reassigned Medicare billing, Alabama enrollment
  • 4 clinicians in this Medicare group
NPI 1174643852 (205) 952-9603

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38843 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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 Brenteney Fortune's NPI number?

The NPI number for Brenteney Fortune is 1275357121. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Brenteney Fortune located?

Brenteney Fortune practices at 101 Houston Lake Rd, Fulton, MS 38843. The listed phone number is (662) 891-1889.

What is Brenteney Fortune's specialty?

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

Is Brenteney Fortune enrolled in Medicare?

Yes. Brenteney Fortune 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.

Which organization bills Medicare for Brenteney Fortune's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenteney Fortune reassigns Medicare benefits to Agape Medical Clinic PC (Hamilton, AL). The 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 Brenteney Fortune's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brenteney Fortune accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Brenteney Fortune 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 Brenteney Fortune was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.