TRACY LYNN FULTON NP-C
NPI 1316451248
Nurse Practitioner in Galion, OH

Active since November 30, 2017PECOS EnrolledAccepts Medicare Assignment
73.97/100
CMS Quality Rating
269 PORTLAND WAY S, GALION, OH 44833(419) 468-4841 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 29, 2020, Mar 17, 2018, Nov 30, 2017 (3 updates tracked since 2017).

About Tracy Lynn Fulton Np-c NPPES

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

TRACY LYNN FULTON NP-C (NPI 1316451248) is an individual nurse practitioner in Galion, Ohio, licensed in Ohio (APRN.CNP.021791) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and maintains a secondary practice location in Ontario.

NPPES Registry Identity

NPI1316451248
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTRACY LYNN FULTONCredential: NP-C
Location Address269 PORTLAND WAY SGalion, OH 44833-2312
Mailing Address701 Tech Center Dr Ste 250Gahanna, OH 43230-1987 · (614) 944-4800 · Fax (614) 944-4750
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 30, 2017
Last NPPES UpdateDecember 29, 20203 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
NPI 1316451248 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 OH · APRN.CNP.021791
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.

269 PORTLAND WAY S, Galion, OH 44833

Secondary Practice Location 1

Location 12003 W 4th StOntario, OH 44906-1865 · Phone (419) 468-0732

Other Identifiers 1

Medicaid0180847OH

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

Tracy Lynn Fulton Np-c 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 ID7810257847
PECOS Enrollment IDI20180212001384
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
196 services148 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
129 services120 patients

Hospital Affiliations CMS Care Compare 4

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

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Bucyrus Community Hospital

Critical Access Hospitals · Bucyrus, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361316
Location629 North Sandusky AvenueBucyrus, OH 44820 · Crawford County
Emergency services

Galion Community Hospital

Critical Access Hospitals · Galion, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number361325
Location269 Portland Way SouthGalion, OH 44833 · Crawford County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44833 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

73.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.9
Promoting Interoperability99
Improvement Activities40
Cost39.16

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers14 claims5,520 services$1.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
269 PORTLAND WAY S
GALION, OH 44833
Emergency Medicine
269 PORTLAND WAY S
GALION, OH 44833
Emergency Medicine
269 PORTLAND WAY S
GALION, OH 44833
Emergency Medicine
269 PORTLAND WAY S
GALION, OH 44833
Emergency Medicine
269 PORTLAND WAY S
GALION, OH 44833
Obstetrics & Gynecology
269 PORTLAND WAY S
GALION, OH 44833
Physician Assistant
269 PORTLAND WAY S
GALION, OH 44833
Family Medicine
269 PORTLAND WAY S
GALION, OH 44833

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316451248, enumerated as an "individual" on November 30, 2017.

The provider is located at 269 PORTLAND WAY S GALION, OH 44833 and the phone number is (419) 468-4841.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to verify.

Tracy Fulton is affiliated with: OHIOHEALTH MANSFIELD HOSPITAL, AVITA ONTARIO, BUCYRUS COMMUNITY HOSPITAL and GALION COMMUNITY HOSPITAL.