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

Active since October 22, 2019PECOS Enrolled
16569 W MAIN ST, LOUISVILLE, MS 39339(662) 773-5704(662) 773-9463 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laken Nicole Fulcher Fnp NPPES

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

LAKEN NICOLE FULCHER FNP (NPI 1295378339) is an individual nurse practitioner in Louisville, Mississippi, licensed in Mississippi (R903535) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295378339
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAKEN NICOLE FULCHERCredential: FNP
Location Address16569 W MAIN STLouisville, MS 39339-2647
Mailing AddressPo Box 470Louisville, MS 39339-0470 · (662) 446-1972 · Fax (662) 446-1039
Phone(662) 773-5704
Fax(662) 773-9463
Sole ProprietorNo
Enumeration DateOctober 22, 2019
✔ NPI 1295378339 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 MS · R903535
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.
16569 W MAIN ST, Louisville, MS 39339
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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 (PECOS)

Laken Nicole Fulcher Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39339 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
57%196 patients3/55-star benchmark: 93%
Cervical Cancer Screening
33%356 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
44%80 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
52%356 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
54%330 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
20%174 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
22%174 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%1,053 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
24%240 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%819 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
8%797 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%539 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 66% · 719 patients
Patients screened: 73% · 719 patients
53%105 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
71%229 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 238 patients
Patients totalRate: 28% · 254 patients
30%254 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WINSTON MEDICAL CLINIC LLC
Clinic/Center (Rural Health)
16569 W MAIN ST
LOUISVILLE, MS 39339
Winston County (662) 773-5704
JESSICA CLARK MILLS FNP
Nurse Practitioner
16569 W MAIN ST
LOUISVILLE, MS 39339
Winston County (662) 773-5704
JONATHAN PAUL HAMILTON MD
Family Medicine
16569 W MAIN ST
LOUISVILLE, MS 39339
Winston County (662) 773-5704
MRS. KALI DEMPSEY ROGERS FNP
Nurse Practitioner (Family)
16569 W MAIN ST
LOUISVILLE, MS 39339
Winston County (662) 773-5704

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 Laken Fulcher's NPI number?

The NPI number for Laken Fulcher is 1295378339. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Where is Laken Fulcher located?

Laken Fulcher practices at 16569 W Main St, Louisville, MS 39339. The listed phone number is (662) 773-5704.

What is Laken Fulcher's specialty?

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

Is Laken Fulcher enrolled in Medicare?

Yes. Laken Fulcher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laken Fulcher was last updated on October 22, 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.