BRANDI C FULLMER PMHNP
NPI 1639841042
Nurse Practitioner - Psychiatric/Mental Health in Lakewood, CO

Q: What is Brandi Fullmer's NPI number?

The NPI number for Brandi Fullmer is 1639841042. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Q: What is Brandi Fullmer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Brandi Fullmer was last updated on October 4, 2021. 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.

Active since October 04, 2021PECOS EnrolledAccepts Medicare Assignment

255 S ROUTT ST STE 250, LAKEWOOD, CO 80228(720) 712-0306 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Brandi C Fullmer Pmhnp NPPES

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

BRANDI C FULLMER PMHNP (NPI 1639841042) is an individual psychiatric/mental health provider in Lakewood, Colorado, licensed in Colorado (APN0996999NP) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639841042

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameBRANDI C FULLMERCredential: PMHNP

Location Address255 S ROUTT ST STE 250Lakewood, CO 80228-2271

Mailing Address3300 N Triumph Blvd Ste 500Lehi, UT 84043-6475

Phone(720) 712-0306

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 4, 2021

NPPES CertifiedOctober 4, 2021

✔ NPI 1639841042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CO · APN0996999NP

255 S ROUTT ST STE 250, Lakewood, CO 80228

Open in Google Maps ↗

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

Brandi C Fullmer Pmhnp 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 ID5193123909

PECOS Enrollment IDI20211008001387

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 80228 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

Other Providers at the Same Location NPPES 7

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

SHELLEY ABADI PMHNP

Nurse Practitioner (Psychiatric/Mental Health)