HALEE FULLERTON
NPI 1770049652
Nurse Practitioner - Psychiatric/Mental Health in Santa Clara, CA

Q: What is Halee Fullerton's NPI number?

The NPI number for Halee Fullerton is 1770049652. It was assigned to this individual provider in the NPPES registry on February 15, 2019.

Q: What is Halee Fullerton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Halee Fullerton was last updated on July 18, 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.

Active since February 15, 2019PECOS EnrolledAccepts Medicare Assignment

4633 OLD IRONSIDES DR STE 304, SANTA CLARA, CA 95054(323) 205-7088 Get Directions Write a Review

NPPES record last updated: July 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 18, 2026, Mar 8, 2022, May 19, 2021 and 4 more (7 updates tracked since 2019).

On this page

About Halee Fullerton NPPES

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

HALEE FULLERTON (NPI 1770049652) is an individual psychiatric/mental health provider in Santa Clara, California, licensed in California (95015132) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770049652

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameHALEE FULLERTON

Location Address4633 OLD IRONSIDES DR STE 304Santa Clara, CA 95054-1846

Mailing Address215 S Hickory St Ste 114Escondido, CA 92025-4360

Phone(323) 205-7088

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 15, 2019

Last NPPES UpdateJuly 18, 20267 updates tracked since enumeration

NPPES CertifiedJuly 18, 2026

✔ NPI 1770049652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in CA · 95015132✔ Licensed in CO · APN.0994456-NP

4633 OLD IRONSIDES DR STE 304, Santa Clara, CA 95054

Open in Google Maps ↗

Secondary Practice Locations 3

Location 16160 Tutt Blvd Ste 102Colorado Springs, CO 80923-3503 · Phone (888) 852-6672

Location 27353 Sisters GrvColorado Springs, CO 80923-2615 · Phone (719) 316-5526

Location 31050 Lakes Dr Ste 225West Covina, CA 91790-2910 · Phone (323) 205-7088

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

Halee Fullerton 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 ID4789924960

PECOS Enrollment IDI20190326001749

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 Halee Fullerton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Compass Colorado Healthcare Systems, Inc

944 mi

Psychiatry

6160 TUTT BLVD STE 102
Colorado Springs, CO 80923

Reassigned Medicare billing, Colorado enrollment
13 clinicians in this Medicare group

NPI 1134831043 (888) 852-6672

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95054 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

Other Providers at the Same Location NPPES 13

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

TRENICE JOHNSON NP

Nurse Practitioner (Psychiatric/Mental Health)