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EMERICK FULTON
NPI 1750130571
Counselor - Mental Health in Peoria, IL

Active since May 14, 2024PECOS EnrolledAccepts Medicare Assignment
719 W LAKE AVE, PEORIA, IL 61614(309) 408-1493 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emerick Fulton NPPES

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

EMERICK FULTON (NPI 1750130571) is an individual mental health provider in Peoria, Illinois and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750130571
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEMERICK FULTON
Location Address719 W LAKE AVEPeoria, IL 61614-5941
Mailing Address9821 Ashbury CtHanna City, IL 61536-9690 · (309) 253-9579
Phone(309) 408-1493
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1750130571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
719 W LAKE AVE, Peoria, IL 61614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Emerick Fulton 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 ID7214461789
PECOS Enrollment IDI20241107000535
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 Reassignment

Medicare enrollment records show Emerick Fulton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edge Counseling And Wellness LLC
Same address
Clinical
719 W LAKE AVE
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 11 clinicians in this Medicare group
NPI 1790275485 (309) 360-8912

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

DR. TARA FOLSOM DC
Chiropractor
719 W LAKE AVE
PEORIA, IL 61614
Peoria County (309) 691-9355
LINDSEY LEA RAFOOL DC
Chiropractor
719 W LAKE AVE
PEORIA, IL 61614
Peoria County (309) 691-9355
SARA LEIGH HOWARD D.C.
Chiropractor
719 W LAKE AVE
PEORIA, IL 61614
Peoria County (309) 691-9355
STACEY ANNA SPILLER PT
Physical Therapist
719 W LAKE AVE
PEORIA, IL 61614
Peoria County (309) 691-9355
DEVON ALICIA ATKINS M.A.
Counselor (Mental Health)
719 W LAKE AVE
PEORIA, IL 61614
Peoria County (309) 408-1493
OLIVIA ELEANOR RUFF
Counselor (Mental Health)
719 W LAKE AVE
PEORIA, IL 61614
Peoria County (309) 408-1493
DR. KIMBERLY HEDGESPETH DC
Chiropractor
719 W LAKE AVE
PEORIA, IL 61614
Peoria County (309) 691-9355
EDGE COUNSELING AND WELLNESS LLC
Social Worker (Clinical)
719 W LAKE AVE
PEORIA, IL 61614
Peoria County (309) 360-8912

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 Emerick Fulton's NPI number?

The NPI number for Emerick Fulton is 1750130571. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Emerick Fulton located?

Emerick Fulton practices at 719 W Lake Ave, Peoria, IL 61614. The listed phone number is (309) 408-1493.

What is Emerick Fulton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Emerick Fulton enrolled in Medicare?

Yes. Emerick 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 organization bills Medicare for Emerick Fulton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emerick Fulton reassigns Medicare benefits to Edge Counseling And Wellness LLC (Peoria, IL). The 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 Emerick Fulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emerick Fulton accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Emerick 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 Emerick Fulton was last updated on May 14, 2024. 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.