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MRS. MICHELLE LYNN FULKERSON MHC
NPI 1457197683
Counselor - Mental Health in Ithaca, NY

Active since July 08, 2024PECOS EnrolledAccepts Medicare Assignment
201 E GREEN ST, ITHACA, NY 14850(607) 274-6200 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2026, Jul 8, 2024 (2 updates tracked since 2024).

About Mrs. Michelle Lynn Fulkerson Mhc NPPES

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

MRS. MICHELLE LYNN FULKERSON MHC (NPI 1457197683) is an individual mental health provider in Ithaca, New York, licensed in New York (017601) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457197683
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MICHELLE LYNN FULKERSONCredential: MHC
Location Address201 E GREEN STIthaca, NY 14850-5635
Mailing Address201 E Green StIthaca, NY 14850-5635 · (607) 274-6200
Phone(607) 274-6200
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 8, 2024
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1457197683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 017601
201 E GREEN ST, Ithaca, NY 14850
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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 and accepts Medicare assignment

Mrs. Michelle Lynn Fulkerson Mhc 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 ID6901380641
PECOS Enrollment IDI20260320001946
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.

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.

ISADORA HEROLD
Social Worker
201 E GREEN ST
ITHACA, NY 14850
Tompkins County (607) 274-6200
MARLEY BROOKS LMSW
Social Worker
201 E GREEN ST
ITHACA, NY 14850
Tompkins County (607) 274-6200
MELISSA NAYLOR LMSW
Social Worker (Clinical)
201 E GREEN ST
ITHACA, NY 14850
Tompkins County (607) 274-6200
ARIANA OLSEN
Social Worker (Clinical)
201 E GREEN ST
ITHACA, NY 14850
Tompkins County (607) 319-6927
KATIE PETERS
Social Worker (Clinical)
201 E GREEN ST
ITHACA, NY 14850
Tompkins County (607) 274-6200
MR. COLIN ANDREW POLNITSKY MSW INTERN
Counselor (Addiction (Substance Use Disorder))
201 E GREEN ST
ITHACA, NY 14850
Tompkins County (607) 274-6288
BRENDA LEIGH HILL LCSW
Social Worker (Clinical)
201 E GREEN ST
ITHACA, NY 14850
Tompkins County (607) 274-6200
KERRIE-ANNE PURRIER RN
Registered Nurse (Psychiatric/Mental Health)
201 E GREEN ST
ITHACA, NY 14850
Tompkins County (607) 274-6230

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 Michelle Fulkerson's NPI number?

The NPI number for Michelle Fulkerson is 1457197683. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Where is Michelle Fulkerson located?

Michelle Fulkerson practices at 201 E Green St, Ithaca, NY 14850. The listed phone number is (607) 274-6200.

What is Michelle Fulkerson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Michelle Fulkerson enrolled in Medicare?

Yes. Michelle Fulkerson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michelle Fulkerson was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.