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DUSTIN FULTON CRNA
NPI 1700283736
Nurse Anesthetist, Certified Registered in Memphis, TN

Active since November 19, 2014PECOS EnrolledAccepts Medicare Assignment
1265 UNION AVE, MEMPHIS, TN 38104(901) 725-5846 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dustin Fulton Crna NPPES

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

DUSTIN FULTON CRNA (NPI 1700283736) is an individual nurse anesthetist, certified registered in Memphis, Tennessee, licensed in Tennessee (19665) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1700283736
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDUSTIN FULTONCredential: CRNA
Location Address1265 UNION AVEMemphis, TN 38104-3415
Mailing Address6060 Primacy Pkwy, Suite 241Memphis, TN 38119-5745 · (901) 725-5846
Phone(901) 725-5846
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 19, 2014
Last NPPES UpdateNovember 15, 2016
✔ NPI 1700283736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in TN · 19665✔ Licensed in TN · 171165
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1265 UNION AVE, Memphis, TN 38104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Dustin Fulton Crna 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 ID8325363229
PECOS Enrollment IDI20200522000719
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Dustin Fulton reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Anesthesia Group, PA
9.4 mi
Anesthesiology
6060 PRIMACY PKWY STE 241
Memphis, TN 38119
  • Reassigned Medicare billing, Tennessee enrollment
  • 73 clinicians in this Medicare group
NPI 1679527501 (901) 725-5846
Gastroenterology Center Of The Midsouth PLLC
13 mi
Gastroenterology
8000 WOLF RIVER BLVD STE 200
Germantown, TN 38138
  • Reassigned Medicare billing, Tennessee enrollment
  • 154 clinicians in this Medicare group
NPI 1417932492 (901) 747-3630
Anesthesia Dynamics LLC
686 mi
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Colorado enrollment
  • 87 clinicians in this Medicare group
NPI 1073001012 (888) 851-4642
Anesthesia Of The Rocky Mountains, LLC
856 mi
Anesthesiology
1699 MEDICAL CENTER POINT
Colorado Springs, CO 80907
  • Reassigned Medicare billing, Colorado enrollment
  • 33 clinicians in this Medicare group
NPI 1245547850 (719) 632-7101
Us Anesthesia Partners Of Colorado Inc.
874 mi
Anesthesiology
8000 E MAPLEWOOD AVE STE 120
Greenwood Village, CO 80111
  • Reassigned Medicare billing, Colorado enrollment
  • 971 clinicians in this Medicare group
NPI 1922365782 (303) 438-3999
Poudre Valley Medical Group, LLC
896 mi
General Practice
2695 ROCKY MOUNTAIN AVE, SUITE 150
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 2,596 clinicians in this Medicare group
NPI 1366763260 (970) 624-4420

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 38104 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

MICHAEL FISHER CRNA
Nurse Anesthetist, Certified Registered
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 725-5846
DANNY J LANCASTER MD
Hospitalist
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 516-2362
MUNACHUKWUDI AFAMEFUNA OKOYE
Student in an Organized Health Care Education/Training Program
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (910) 516-8279
GEETH SANDEEP NADELLA M.D.
Internal Medicine
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 516-2362
HANNAH PETERSON PHARMD
Pharmacist
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 516-7000
METHODIST UNIVERSITY EMERGENCY PHYSICIANS PLLC
Emergency Medicine
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 516-7000
DR. JEFFREY A BLALACK MD
Anesthesiology
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (316) 685-6091
RADIOSURGICAL CENTER OF MEMPHIS, L.P.
Radiologic Technologist (Radiation Therapy)
1265 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 726-6444

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 Dustin Fulton's NPI number?

The NPI number for Dustin Fulton is 1700283736. It was assigned to this individual provider in the NPPES registry on November 19, 2014.

Where is Dustin Fulton located?

Dustin Fulton practices at 1265 Union Ave, Memphis, TN 38104. The listed phone number is (901) 725-5846.

What is Dustin Fulton's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Dustin Fulton enrolled in Medicare?

Yes. Dustin Fulton 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 Dustin Fulton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Fulton reassigns Medicare benefits to 6 organizations: Medical Anesthesia Group, PA (Memphis, TN), Gastroenterology Center Of The Midsouth PLLC (Germantown, TN), Anesthesia Dynamics LLC (Bradenton, FL), Anesthesia Of The Rocky Mountains, LLC (Colorado Springs, CO), Us Anesthesia Partners Of Colorado Inc. (Greenwood Village, CO) and 1 more organization, listed in the Medicare section above. 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 Dustin Fulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dustin Fulton accept?

Health plans from Select Health list Dustin Fulton 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 Dustin Fulton was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.