KATELYN O FULKERSON FNP
NPI 1497342075
Nurse Practitioner in Newburgh, IN

Active since December 29, 2020PECOS EnrolledAccepts Medicare Assignment
4209 GATEWAY BLVD, NEWBURGH, IN 47630(812) 853-5300(812) 858-4660 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 21, 2022, Jan 28, 2021, Dec 29, 2020 (3 updates tracked since 2020).

About Katelyn O Fulkerson Fnp NPPES

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

KATELYN O FULKERSON FNP (NPI 1497342075) is an individual nurse practitioner in Newburgh, Indiana, licensed in Indiana (71010802A) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1497342075
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATELYN O FULKERSONCredential: FNP
Location Address4209 GATEWAY BLVDNewburgh, IN 47630-8900
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815 · Fax (812) 450-6822
Fax(812) 858-4660
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 29, 2020
Last NPPES UpdateOctober 21, 20223 updates tracked since enumeration
NPPES CertifiedOctober 21, 2022
NPI 1497342075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71010802A
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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 28229841A (IN)
Also ListedPediatricsTaxonomy 208000000X · License 71010802A (IN)
4209 GATEWAY BLVD, Newburgh, IN 47630

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

Katelyn O Fulkerson Fnp 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 ID3678987872
PECOS Enrollment IDI20210304001644
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 47630 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Nurse Practitioner (Pediatrics)
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Urology
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Pediatrics
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Pediatrics
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Psychologist
4209 GATEWAY BLVD
NEWBURGH, IN 47630

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497342075, enumerated as an "individual" on December 29, 2020.

The provider is located at 4209 GATEWAY BLVD NEWBURGH, IN 47630 and the phone number is (812) 853-5300.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.