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NANETTE NICOLE FULP PA-C
NPI 1508308610
Physician Assistant in Winston Salem, NC

Active since November 07, 2016PECOS Enrolled
1995 BETHABARA RD, WINSTON SALEM, NC 27106(336) 759-7596(336) 759-3652 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2022, Oct 27, 2020, Nov 7, 2016 (3 updates tracked since 2016).

About Nanette Nicole Fulp Pa-c NPPES

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

NANETTE NICOLE FULP PA-C (NPI 1508308610) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (0010-06840) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508308610
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNANETTE NICOLE FULPCredential: PA-C
Location Address1995 BETHABARA RDWinston Salem, NC 27106-3375
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 759-7596 · Fax (336) 759-3652
Phone(336) 759-7596
Fax(336) 759-3652
Sole ProprietorNo
Enumeration DateNovember 7, 2016
Last NPPES UpdateAugust 26, 20223 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
✔ NPI 1508308610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-06840
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1995 BETHABARA RD, Winston Salem, NC 27106
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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 (PECOS)

Nanette Nicole Fulp Pa-c 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 27106 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
83%70 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
71%79 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
42%123 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
48%42 patients2/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
4%55 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTI SHANTEL DENISE WILLIAMS FNP-BC
Nurse Practitioner
1995 BETHABARA RD
WINSTON SALEM, NC 27106
Forsyth County (336) 759-7596
ANA ANTOANETA FRUNZA MD
Family Medicine
1995 BETHABARA RD
WINSTON SALEM, NC 27106
Forsyth County (336) 759-7596
DONALD L LENDLE IX MD
Family Medicine
1995 BETHABARA RD
WINSTON-SALEM, NC 27106
Forsyth County (336) 759-7596
FORSYTH MEMORIAL HOSPITAL INC
Family Medicine
1995 BETHABARA RD
WINSTON SALEM, NC 27106
Forsyth County (336) 759-7596
HARRY TURNER HULBERT III PAC
Physician Assistant (Surgical)
1995 BETHABARA RD
WINSTON SALEM, NC 27106
Forsyth County (336) 759-7596
BEVERLY ANN LLOYD PA-C
Physician Assistant
1995 BETHABARA RD
WINSTON SALEM, NC 27106
Forsyth County (336) 759-7596
MR. JASON WAYNE STEELE MSN, FNP-C
Nurse Practitioner
1995 BETHABARA RD
WINSTON SALEM, NC 27106
Forsyth County (336) 759-7596
MS. JOANNA ELIZABETH LONG F.N.P
Nurse Practitioner
1995 BETHABARA RD
WINSTON SALEM, NC 27106
Forsyth County (336) 759-7596

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 Nanette Fulp's NPI number?

The NPI number for Nanette Fulp is 1508308610. It was assigned to this individual provider in the NPPES registry on November 7, 2016.

Where is Nanette Fulp located?

Nanette Fulp practices at 1995 Bethabara Rd, Winston Salem, NC 27106. The listed phone number is (336) 759-7596.

What is Nanette Fulp's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nanette Fulp enrolled in Medicare?

Yes. Nanette Fulp is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nanette Fulp was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.