Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LOURDES SOFIA FULCOMER FNP-C
NPI 1770268757
Nurse Practitioner - Family in Enterprise, AL

Active since June 19, 2023PECOS EnrolledAccepts Medicare Assignment
606A BOLL WEEVIL CIR, ENTERPRISE, AL 36330(334) 475-2462 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2026, Jun 19, 2023 (2 updates tracked since 2023).

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 is a graduate of State University Of Ny Upstate Medical University (2023).

NPPES Registry Identity

NPI1770268757
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. LOURDES SOFIA FULCOMERCredential: FNP-C
Location Address606A BOLL WEEVIL CIREnterprise, AL 36330-2734
Mailing Address606a Boll Weevil CirEnterprise, AL 36330-2734 · (334) 475-2462
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2023
Enumeration DateJune 19, 2023
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1770268757 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
Licenses Licensed in AL · 3-002843 Licensed in TN · 41315 Licensed in NY · 315959
Also ListedRegistered NurseTaxonomy 163W00000X · License 803858 (NY), 185414 (TN)
606A BOLL WEEVIL CIR, Enterprise, AL 36330

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

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.

PECOS PAC ID4880124411
PECOS Enrollment IDI20250211003018
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.

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, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331309
Location4 Fuller StreetAlexandria Bay, NY 13607 · Jefferson County
Emergency services

Physician 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.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 4

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

Nurse Practitioner (Family)
606A BOLL WEEVIL CIR
ENTERPRISE, AL 36330
Nurse Practitioner
606A BOLL WEEVIL CIR
ENTERPRISE, AL 36330
Pharmacy (Community/Retail Pharmacy)
606A BOLL WEEVIL CIR
ENTERPRISE, AL 36330
Nurse Practitioner
606A BOLL WEEVIL CIR
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.

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 33 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.