KATELYN O FULKERSON FNP
NPI 1497342075
Nurse Practitioner in Newburgh, IN
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
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Katelyn Fulkerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newburgh, IN 47630
- Reassigned Medicare billing, Indiana enrollment
- 444 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
NEWBURGH, IN 47630
NEWBURGH, IN 47630
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 Katelyn Fulkerson's NPI number?
The NPI number for Katelyn Fulkerson is 1497342075. It was assigned to this individual provider in the NPPES registry on December 29, 2020.
Where is Katelyn Fulkerson located?
Katelyn Fulkerson practices at 4209 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 853-5300.
What is Katelyn Fulkerson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Katelyn Fulkerson enrolled in Medicare?
Yes. Katelyn 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.
Which organization bills Medicare for Katelyn Fulkerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Fulkerson reassigns Medicare benefits to Deaconess Clinic Inc (Newburgh, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Fulkerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katelyn Fulkerson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Katelyn Fulkerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Katelyn Fulkerson was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Katelyn O Fulkerson, FNP · NPI 1497342075
Nurse Practitioner physician in Newburgh, Indiana. Individual provider, active in the CMS NPPES registry since December 29, 2020.
## Identity
- **NPI:** 1497342075 (Entity type: Individual)
- **Enumerated:** December 29, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71010802A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 4209 GATEWAY BLVD, Newburgh, IN 47630-8900
- **Phone:** (812) 853-5300 · **Fax:** (812) 858-4660
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Deaconess Clinic Inc (NPI 1134725898, Newburgh, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1497342075) · Data from the CMS NPPES public registry.