CHELYN CRAPO FULLMER
NPI 1740656453
Advanced Practice Midwife in Salt Lake City, UT

Active since August 17, 2015PECOS EnrolledAccepts Medicare Assignment
5373 W LAKE PARK BLVD, SALT LAKE CITY, UT 84120(801) 902-7960 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chelyn Crapo Fullmer NPPES

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

CHELYN CRAPO FULLMER (NPI 1740656453) is an individual advanced practice midwife in Salt Lake City, Utah, licensed in Utah (8005666-4402) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740656453
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameCHELYN CRAPO FULLMER
Location Address5373 W LAKE PARK BLVDSalt Lake City, UT 84120-8208
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 17, 2015
Last NPPES UpdateMarch 20, 2019
NPI 1740656453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in UT · 8005666-4402
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
5373 W LAKE PARK BLVD, Salt Lake City, UT 84120

Accepted 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

Chelyn Crapo Fullmer 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 ID1759681851
PECOS Enrollment IDI20151120002683
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 84120 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 9

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

Nurse Practitioner
5373 W LAKE PARK BLVD
WEST VALLEY CITY, UT 84120
Family Medicine
5373 W LAKE PARK BLVD
WEST VALLEY CITY, UT 84120
Social Worker (Clinical)
5373 W LAKE PARK BLVD
WEST VALLEY CITY, UT 84120
Nurse Practitioner (Family)
5373 W LAKE PARK BLVD
WEST VALLEY, UT 84120
Family Medicine
5373 W LAKE PARK BLVD
WEST VALLEY CITY, UT 84120
Family Medicine (Sports Medicine)
5373 W LAKE PARK BLVD
WEST VALLEY CITY, UT 84120
Physical Therapist
5373 W LAKE PARK BLVD
WEST VALLEY CITY, UT 84120
Dermatology
5373 W LAKE PARK BLVD
WEST VALLEY CITY, UT 84120

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 Chelyn Fullmer's NPI number?

The NPI number for Chelyn Fullmer is 1740656453. It was assigned to this individual provider in the NPPES registry on August 17, 2015.

Where is Chelyn Fullmer located?

Chelyn Fullmer practices at 5373 W Lake Park Blvd, Salt Lake City, UT 84120. The listed phone number is (801) 902-7960.

What is Chelyn Fullmer's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Chelyn Fullmer enrolled in Medicare?

Yes. Chelyn Fullmer 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 Chelyn Fullmer accept?

Health plans from Select Health list Chelyn Fullmer 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 Chelyn Fullmer was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.