SHAUNDRA DENISE FULTON NP
NPI 1649072737
Nurse Practitioner - Acute Care in Fort Worth, TX

Q: What is Shaundra Fulton's NPI number?

The NPI number for Shaundra Fulton is 1649072737. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Q: What is Shaundra Fulton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Shaundra Fulton was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 27, 2025PECOS Enrolled

1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104(817) 250-4906(817) 250-1815 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2025, Jun 18, 2025, Mar 27, 2025 (3 updates tracked since 2025).

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About Shaundra Denise Fulton Np NPPES

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

SHAUNDRA DENISE FULTON NP (NPI 1649072737) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (1203977) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1649072737

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSHAUNDRA DENISE FULTONCredential: NP

Location Address1300 W TERRELL AVE STE K230Fort Worth, TX 76104-3104

Mailing Address1300 W Terrell Ave Ste K230Fort Worth, TX 76104-3104 · (817) 250-4906

Phone(817) 250-4906

Fax(817) 250-1815

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 27, 2025

Last NPPES UpdateAugust 15, 20253 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1649072737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in TX · 1203977✔ Licensed in TX · 974406

1300 W TERRELL AVE STE K230, Fort Worth, TX 76104

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaundra Denise Fulton Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638682321

PECOS Enrollment IDI20250626003401

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 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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 20

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

CLARA FORMUSOH NP

Nurse Practitioner (Family)