GRETCHEN L FULKERSON APRN
NPI 1720356256
Nurse Practitioner - Family in New Braunfels, TX

Q: What is Gretchen Fulkerson's NPI number?

The NPI number for Gretchen Fulkerson is 1720356256. It was assigned to this individual provider in the NPPES registry on December 12, 2011.

Q: What is Gretchen Fulkerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 12, 2011PECOS EnrolledAccepts Medicare Assignment

1761 STATE HIGHWAY 46 S STE 104, NEW BRAUNFELS, TX 78130(830) 433-7815 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2020, Jan 7, 2019, Sep 22, 2017 (3 updates tracked since 2017).

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About Gretchen L Fulkerson Aprn NPPES

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

GRETCHEN L FULKERSON APRN (NPI 1720356256) is an individual family provider in New Braunfels, Texas, licensed in Texas (1052882) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Guadalupe Regional Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1720356256

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGRETCHEN L FULKERSONCredential: APRN

Location Address1761 STATE HIGHWAY 46 S STE 104New Braunfels, TX 78130-2237

Mailing Address1761 State Highway 46 S Ste 104New Braunfels, TX 78130-2237 · (830) 433-7815

Phone(830) 433-7815

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateDecember 12, 2011

Last NPPES UpdateDecember 18, 20233 updates tracked since enumeration

NPPES CertifiedDecember 18, 2023

✔ NPI 1720356256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1052882

1761 STATE HIGHWAY 46 S STE 104, New Braunfels, TX 78130

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and more.Insurance ›

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

Gretchen L Fulkerson Aprn 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 ID446480610

PECOS Enrollment IDI20230802000456

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

68 services42 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

24 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number450104

Location1215 E Court StSeguin, TX 78155 · Guadalupe County

Emergency services Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450272

Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78130 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

94%98 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Gretchen Fulkerson's NPI number?

The NPI number for Gretchen Fulkerson is 1720356256. It was assigned to this individual provider in the NPPES registry on December 12, 2011.

Where is Gretchen Fulkerson located?

Gretchen Fulkerson practices at 1761 State Highway 46 S Ste 104, New Braunfels, TX 78130. The listed phone number is (830) 433-7815.

What is Gretchen Fulkerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gretchen Fulkerson enrolled in Medicare?

Yes. Gretchen Fulkerson 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.

What insurance does Gretchen Fulkerson accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and WellPoint list Gretchen Fulkerson 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.

Is Gretchen Fulkerson affiliated with any hospitals?

According to CMS data, Gretchen Fulkerson is affiliated with Guadalupe Regional Medical Center and Christus Santa Rosa Hospital-San Marcos.

When was this NPI record last updated?

The NPPES record for Gretchen Fulkerson was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.