ELI JACOB FULFER
NPI 1629848098
Nurse Practitioner - Psychiatric/Mental Health in Springdale, AR
About Eli Jacob Fulfer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELI JACOB FULFER (NPI 1629848098) is an individual psychiatric/mental health provider in Springdale, Arkansas, licensed in Arkansas (213657) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Eli Jacob Fulfer 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72764 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.
SPRINGDALE, AR 72764
SPRINGDALE, AR 72764
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 Eli Fulfer's NPI number?
The NPI number for Eli Fulfer is 1629848098. It was assigned to this individual provider in the NPPES registry on January 5, 2024.
Where is Eli Fulfer located?
Eli Fulfer practices at 609 W Maple Ave, Springdale, AR 72764. The listed phone number is (479) 530-9754.
What is Eli Fulfer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Eli Fulfer enrolled in Medicare?
Yes. Eli Fulfer 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 Eli Fulfer was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Eli Jacob Fulfer · NPI 1629848098
Psychiatric/Mental Health physician in Springdale, Arkansas. Individual provider, active in the CMS NPPES registry since January 5, 2024.
## Identity
- **NPI:** 1629848098 (Entity type: Individual)
- **Enumerated:** January 5, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 213657 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 609 W MAPLE AVE, Springdale, AR 72764-5335
- **Phone:** (479) 530-9754
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629848098) · Data from the CMS NPPES public registry.