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

Q: 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.

Q: What is Dustin Fulton's specialty?

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

Q: 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.

Active since November 19, 2014Accepts 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: August 16, 2026.

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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 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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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

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

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