HALEE FULLERTON
NPI 1770049652
Nurse Practitioner - Psychiatric/Mental Health in Santa Clara, CA
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 4 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
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
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.
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.
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.
SANTA CLARA, CA 95054
SANTA CLARA, CA 95054
SANTA CLARA, CA 95054
SANTA CLARA, CA 95054
SANTA CLARA, CA 95054
SANTA CLARA, CA 95054
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 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.
Where is Halee Fullerton located?
Halee Fullerton practices at 4633 Old Ironsides Dr Ste 304, Santa Clara, CA 95054. The listed phone number is (323) 205-7088.
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.
Is Halee Fullerton enrolled in Medicare?
Yes. Halee Fullerton 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.
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 22 days 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.
# Halee Fullerton · NPI 1770049652
Psychiatric/Mental Health physician in Santa Clara, California. Individual provider, active in the CMS NPPES registry since February 15, 2019.
## Identity
- **NPI:** 1770049652 (Entity type: Individual)
- **Enumerated:** February 15, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95015132 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4633 OLD IRONSIDES DR STE 304, Santa Clara, CA 95054-1846
- **Phone:** (323) 205-7088
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770049652) · Data from the CMS NPPES public registry.