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STEPHANIE FULLEBORN M.D.
NPI 1437508678
Family Medicine in Eglin Afb, FL

Active since June 08, 2016PECOS Enrolled
307 BOATNER RD STE 114, EGLIN AFB, FL 32542(850) 883-8600 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Fulleborn M.d. NPPES

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

STEPHANIE FULLEBORN M.D. (NPI 1437508678) is an individual family medicine provider in Eglin Afb, Florida, licensed in Nebraska (30653) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437508678
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHANIE FULLEBORNCredential: M.D.
Location Address307 BOATNER RD STE 114Eglin Afb, FL 32542-1302
Mailing Address307 Boatner Rd Ste 114Eglin Afb, FL 32542-1302 · (850) 883-8600
Phone(850) 883-8600
Sole ProprietorNo
Enumeration DateJune 8, 2016
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1437508678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 30653
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
307 BOATNER RD STE 114, Eglin Afb, FL 32542
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Other Names 1

Former Name (1)Stephanie Tuttle M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Fulleborn M.d. 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 32542 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims15 services$12.89 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$35.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims15 services$71.57 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$178.10 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.

LUCAS RYAN PETKEWITZ DPT
Physical Therapist
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
DR. JAMES SAXTON
Anesthesiology
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9394
BODEN JAMES PORT DO
General Practice
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
HEATHER DAWN BROCK
Nurse Practitioner (Family)
307 BOATNER RD STE 114
EGLIN, FL 32542
Okaloosa County (850) 883-9042
DR. ANDREW KEITH MATTHIES D.O.
Anesthesiology
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9394
ANJELI KRISTEN NAYAR POPE M.D.
Internal Medicine
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9906
DR. ERIC MICHAEL WEISS MD
General Practice
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
CAMRON BOWMAN DO
Military Health Care Provider
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8288

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 Stephanie Fulleborn's NPI number?

The NPI number for Stephanie Fulleborn is 1437508678. It was assigned to this individual provider in the NPPES registry on June 8, 2016. The provider is also known as Stephanie Tuttle M.D..

Where is Stephanie Fulleborn located?

Stephanie Fulleborn practices at 307 Boatner Rd Ste 114, Eglin Afb, FL 32542. The listed phone number is (850) 883-8600.

What is Stephanie Fulleborn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephanie Fulleborn enrolled in Medicare?

Yes. Stephanie Fulleborn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Fulleborn was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.