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
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Eli Fulfer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bentonville, AR 72712
- Reassigned Medicare billing, Arkansas enrollment
- 7 clinicians in this Medicare group
Little Rock, AR 72211
- Reassigned Medicare billing, Arkansas enrollment
- 60 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 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.
Which organizations bill Medicare for Eli Fulfer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eli Fulfer reassigns Medicare benefits to 2 organizations: Holden Psychiatric Institute, PA (Bentonville, AR) and Reding & Leach MD PLLC (Little Rock, AR). Each 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 Eli Fulfer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eli Fulfer accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Eli Fulfer 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 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 16 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
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Holden Psychiatric Institute, PA (NPI 1205001088, Bentonville, AR); Reding & Leach MD PLLC (NPI 1245723584, Little Rock, AR) · CMS Revalidation Reassignment List, October 2026 release
- **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.