DR. LOURDES SOFIA FULCOMER FNP-C
NPI 1770268757
Nurse Practitioner - Family in Enterprise, AL
About Dr. Lourdes Sofia Fulcomer Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LOURDES SOFIA FULCOMER FNP-C (NPI 1770268757) is an individual family provider in Enterprise, Alabama, licensed in Alabama (3-002843) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with River Hospital Clinics, and maintains a secondary practice location in Alexandria Bay.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Lourdes Sofia Fulcomer Fnp-c 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.
Medicare Billing Reassignments
3Medicare enrollment records show Lourdes Fulcomer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Enterprise, AL 36330
- Reassigned Medicare billing, Alabama enrollment
- 660 clinicians in this Medicare group
Poughkeepsie, NY 12601
- Reassigned Medicare billing, New York enrollment
- 356 clinicians in this Medicare group
Alexandria Bay, NY 13607
- Reassigned Medicare billing, New York enrollment
- 89 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
River Hospital Clinics
Critical Access Hospitals · Alexandria Bay, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 36330 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ENTERPRISE, AL 36330
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 Lourdes Fulcomer's NPI number?
The NPI number for Lourdes Fulcomer is 1770268757. It was assigned to this individual provider in the NPPES registry on June 19, 2023.
Where is Lourdes Fulcomer located?
Lourdes Fulcomer practices at 606A Boll Weevil Cir, Enterprise, AL 36330. The listed phone number is (334) 475-2462.
What is Lourdes Fulcomer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lourdes Fulcomer enrolled in Medicare?
Yes. Lourdes Fulcomer 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 organizations bill Medicare for Lourdes Fulcomer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lourdes Fulcomer reassigns Medicare benefits to 3 organizations: American Family Care, LLC (Enterprise, AL), Emergency Physician Services Of New York, P.C. (Poughkeepsie, NY) and River Hospital, Inc. (Alexandria Bay, NY). Each 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 Lourdes Fulcomer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lourdes Fulcomer affiliated with any hospitals?
According to CMS data, Lourdes Fulcomer is affiliated with River Hospital Clinics.
When was this NPI record last updated?
The NPPES record for Lourdes Fulcomer was last updated on July 21, 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.
# Dr. Lourdes Sofia Fulcomer, FNP-C · NPI 1770268757
Family physician in Enterprise, Alabama. Individual provider, active in the CMS NPPES registry since June 19, 2023.
## Identity
- **NPI:** 1770268757 (Entity type: Individual)
- **Enumerated:** June 19, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3-002843 (Alabama)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 606A BOLL WEEVIL CIR, Enterprise, AL 36330-2734
- **Phone:** (334) 475-2462
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): American Family Care, LLC (NPI 1720459134, Enterprise, AL); Emergency Physician Services Of New York, P.C. (NPI 1093759847, Poughkeepsie, NY); River Hospital, Inc. (NPI 1003814641, Alexandria Bay, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770268757) · Data from the CMS NPPES public registry.