LAKEN NICOLE FULCHER FNP
NPI 1295378339
Nurse Practitioner in Louisville, MS

NPI Status: Active since October 22, 2019

Contact Information

16569 W MAIN ST
LOUISVILLE, MS
ZIP 39339
Phone: (662) 773-5704
Fax: (662) 773-9463

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  • Individual
  • Female
  • Nurse Practitioner
  • PECOS Enrolled
  • Medicare Quality Reporting

About LAKEN FULCHER

This page provides the complete NPI Profile along with additional information for Laken Fulcher, a provider established in Louisville, Mississippi with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1295378339 assigned on October 2019. The practitioner's primary taxonomy code is 363L00000X with license number R903535 (MS). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1295378339
Provider Name
LAKEN NICOLE FULCHER FNP
Gender
Female
Entity Type
Individual
Location Address
16569 W MAIN ST LOUISVILLE, MS 39339
Location Phone
(662) 773-5704
Location Fax
(662) 773-9463
Mailing Address
PO BOX 470 LOUISVILLE, MS 39339
Mailing Phone
(662) 446-1972
Mailing Fax
(662) 773-9463
Is Sole Proprietor?
No
Enumeration Date
10-22-2019
Last Update Date
10-22-2019
Code Navigator

A nurse practitioner (NP) like Laken Fulcher is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R903535
License State
MS
Taxonomy Description
(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.

Medicare Participation & PECOS Enrollment Status

Laken Fulcher is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 39339 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $80.5
  • Minimum New Patient Price $51.65
  • Maximum New Patient Price $159.18
  • Average New Patient Copayment $20.12
  • Minimum New Patient Copayment $12.91
  • Maximum New Patient Copayment $39.79

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $92.2
  • Minimum Established Patient Price $16.15
  • Maximum Established Patient Price $129.61
  • Average Established Patient Copayment $23.05
  • Minimum Established Patient Copayment $4.03
  • Maximum Established Patient Copayment $32.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Breast Cancer Screening 57% 196
Cervical Cancer Screening 33% 356
Closing the Referral Loop: Receipt of Specialist Report 44% 80
Colorectal Cancer Screening 52% 356
Controlling High Blood Pressure 54% 330
Diabetes: Eye Exam 20% 174
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 22% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
174
Documentation of Current Medications in the Medical Record 98% 1053
Falls: Screening for Future Fall Risk 24% 240
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 25% 819
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 8% 797
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 33% 539
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 66% 719
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 53% 105
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 73% 719
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 71% 229
Use of High-Risk Medications in Older Adults 3% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
238
Use of High-Risk Medications in Older Adults 30% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
254
Use of High-Risk Medications in Older Adults 28% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
254

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295378339, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 3 → 6 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 6 + 7 + 1 + 6 + 3 + 6 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1295378339.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Rural Health)
16569 W MAIN ST
LOUISVILLE, MS 39339
Nurse Practitioner (Family)
16569 W MAIN ST
LOUISVILLE, MS 39339
Nurse Practitioner
16569 W MAIN ST
LOUISVILLE, MS 39339

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295378339, enumerated as an "individual" on October 22, 2019.

The provider is located at 16569 W MAIN ST LOUISVILLE, MS 39339 and the phone number is (662) 773-5704.

Nurse Practitioner with taxonomy code 363L00000X.