MRS. KIMOTHY ANN FULK APN NP C
NPI 1770515728
Nurse Practitioner - Adult Health in Lawrenceville, IL

Q: What is Kimothy Fulk's NPI number?

The NPI number for Kimothy Fulk is 1770515728. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Kimothy Fulk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kimothy Fulk was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 July 07, 2006PECOS Enrolled

11020 STATE ROUTE 250, LAWRENCEVILLE, IL 62439(618) 943-2609(618) 943-6409 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kimothy Ann Fulk Apn Np C NPPES

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

MRS. KIMOTHY ANN FULK APN NP C (NPI 1770515728) is an individual adult health provider in Lawrenceville, Illinois, licensed in Illinois (209005713) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770515728

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. KIMOTHY ANN FULKCredential: APN NP C

Location Address11020 STATE ROUTE 250Lawrenceville, IL 62439-3379

Mailing AddressPo Box 516Lawrenceville, IL 62439-0516 · (618) 943-2609 · Fax (618) 943-6409

Phone(618) 943-2609

Fax(618) 943-6409

Sole ProprietorNo

Enumeration DateJuly 7, 2006

Last NPPES UpdateSeptember 9, 2019

✔ NPI 1770515728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IL · 209005713

11020 STATE ROUTE 250, Lawrenceville, IL 62439

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Other Identifiers 6

Other5132004IL · Bcbs

Other109800IL · Health Alliance Ins

Other731354IL · Health Link Ins

Other1729885First Health

Medicaid376006178007IL

Other838915United Healthcare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimothy Ann Fulk Apn Np C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62439 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

4 suppliers15 claims39 services$6.93 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers15 claims20 services$1.19 avg. paid by Medicare

Hospital bed, fixed height, with any type side rails, with mattress E0250

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$55.88 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

1 supplier13 claims13 services$17.99 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier13 claims13 services$108.41 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 18

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

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