MRS. JESSICA FULTZ FNP-C
NPI 1306603485
Nurse Practitioner - Family in King City, MO
About Mrs. Jessica Fultz Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSICA FULTZ FNP-C (NPI 1306603485) is an individual family provider in King City, Missouri, licensed in Missouri (F01241111) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jessica Fultz Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64463 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jessica Fultz's NPI number?
The NPI number for Jessica Fultz is 1306603485. It was assigned to this individual provider in the NPPES registry on March 5, 2024.
Where is Jessica Fultz located?
Jessica Fultz practices at 305 Rhode Island St, King City, MO 64463. The listed phone number is (913) 638-1348.
What is Jessica Fultz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Fultz enrolled in Medicare?
Yes. Jessica Fultz is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jessica Fultz was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.
# Mrs. Jessica Fultz, FNP-C · NPI 1306603485
Family physician in King City, Missouri. Individual provider, active in the CMS NPPES registry since March 5, 2024.
## Identity
- **NPI:** 1306603485 (Entity type: Individual)
- **Enumerated:** March 5, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F01241111 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 305 RHODE ISLAND ST, King City, MO 64463-9622
- **Phone:** (913) 638-1348
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306603485) · Data from the CMS NPPES public registry.