HOLLY JEANNE FULLBRIGHT APRN
NPI 1568916740
Nurse Practitioner in Tulsa, OK

Q: What is Holly Fullbright's NPI number?

The NPI number for Holly Fullbright is 1568916740. It was assigned to this individual provider in the NPPES registry on August 5, 2016. The provider is also known as Holly Jeanne Hendrian Aprn.

Q: What is Holly Fullbright's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Fullbright was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 05, 2016PECOS EnrolledAccepts Medicare Assignment

1145 S UTICA AVE STE 460, TULSA, OK 74104(918) 579-5749(918) 579-5762 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2020, Jun 20, 2019 (2 updates tracked since 2019).

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About Holly Jeanne Fullbright Aprn NPPES

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

HOLLY JEANNE FULLBRIGHT APRN (NPI 1568916740) is an individual nurse practitioner in Tulsa, Oklahoma, licensed in Oklahoma (129126) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Northeastern Health System, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1568916740

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameHOLLY JEANNE FULLBRIGHTCredential: APRN

Location Address1145 S UTICA AVE STE 460Tulsa, OK 74104-4041

Mailing Address1145 S Utica Ave Ste 460Tulsa, OK 74104-4041 · (918) 579-5749 · Fax (918) 579-5762

Phone(918) 579-5749

Fax(918) 579-5762

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 5, 2016

Last NPPES UpdateNovember 5, 20202 updates tracked since enumeration

NPPES CertifiedNovember 5, 2020

✔ NPI 1568916740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OK · 129126

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.

1145 S UTICA AVE STE 460, Tulsa, OK 74104

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Other Names 1

Former Name (1)Holly Jeanne Hendrian Aprn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Holly Jeanne Fullbright Aprn 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 ID547556243

PECOS Enrollment IDI20180608000361

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

595 services219 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

285 services285 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

223 services201 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

95 services84 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

39 services38 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370089

Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County

Emergency services Birthing friendly

Oklahoma Surgical Hospital, LLC

Acute Care Hospitals · Tulsa, OK

5/5 CMS rating

OwnershipPhysician

CMS Certification Number370210

Location2408 East 81st Street, Suite 300Tulsa, OK 74137 · Tulsa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 3

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

3 suppliers32 claims34 services$17.30 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier24 claims24 services$883.51 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

3 suppliers32 claims34 services$85.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

LINDA NGORIMA APRN

Nurse Practitioner (Family)