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PATRICIA MICHELLE FULTON APRN
NPI 1750541983
Nurse Practitioner - Family in Newton, IL

Active since June 11, 2008PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
807 W JOURDAN ST, NEWTON, IL 62448(618) 783-3800(618) 783-5070 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2026, Jun 1, 2021, Mar 9, 2020 and 2 more (5 updates tracked since 2018).

About Patricia Michelle Fulton Aprn NPPES

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

PATRICIA MICHELLE FULTON APRN (NPI 1750541983) is an individual family provider in Newton, Illinois, licensed in Illinois (209007098) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1750541983
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePATRICIA MICHELLE FULTONCredential: APRN
Location Address807 W JOURDAN STNewton, IL 62448-1059
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Phone(618) 783-3800
Fax(618) 783-5070
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 11, 2008
Last NPPES UpdateApril 24, 20265 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1750541983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209007098
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209007098 (IL)
807 W JOURDAN ST, Newton, IL 62448
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11303 W Evergreen Ave Ste 100Effingham, IL 62401-1638 · Phone (217) 540-6123
Location 21201 Wooddell Way Ste BMattoon, IL 61938-1014 · Phone (217) 238-3000
Location 32040 Lincoln AveCharleston, IL 61920-3197 · Phone (217) 345-2030
Location 41100 Tuscola BlvdTuscola, IL 61953-2065 · Phone (217) 253-4764

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

Patricia Michelle Fulton 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 ID5890850853
PECOS Enrollment IDI20090209000295
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.
236 services118 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.
150 services92 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services14 patients

Hospital Affiliations CMS Care Compare 2

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62448 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers32 claims66 services$4.82 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers11 claims11 services$108.84 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers13 claims13 services$23.14 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers16 claims67 services$2.88 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers51 claims51 services$23.95 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers11 claims11 services$18.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

COURTNEY MILLER NP
Nurse Practitioner (Family)
807 W JOURDAN ST
NEWTON, IL 62448
Jasper County (618) 783-3800

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 Patricia Fulton's NPI number?

The NPI number for Patricia Fulton is 1750541983. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Patricia Fulton located?

Patricia Fulton practices at 807 W Jourdan St, Newton, IL 62448. The listed phone number is (618) 783-3800.

What is Patricia Fulton's specialty?

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

Is Patricia Fulton enrolled in Medicare?

Yes. Patricia 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.

Is Patricia Fulton affiliated with any hospitals?

According to CMS data, Patricia Fulton is affiliated with St Anthonys Memorial Hospital and Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Patricia Fulton was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.