KATIE FULCHER
NPI 1851705727
Family Medicine in Petoskey, MI

Q: What is Katie Fulcher's NPI number?

The NPI number for Katie Fulcher is 1851705727. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Q: What is Katie Fulcher's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Katie Fulcher was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 18, 2014PECOS EnrolledAccepts Medicare Assignment

416 CONNABLE AVE, PETOSKEY, MI 49770(231) 487-7969 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 3, 2023, Aug 28, 2017 (2 updates tracked since 2017).

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About Katie Fulcher NPPES

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

KATIE FULCHER (NPI 1851705727) is an individual family medicine provider in Petoskey, Michigan, licensed in Michigan (5101021085) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Mclaren Northern Michigan, and is a graduate of Michigan State University College Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1851705727

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKATIE FULCHER

Location Address416 CONNABLE AVEPetoskey, MI 49770-2212

Mailing Address3359 Vineyard CtPetoskey, MI 49770-8559 · (906) 202-0496

Phone(231) 487-7969

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2014

Enumeration DateJune 18, 2014

Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration

NPPES CertifiedOctober 3, 2023

✔ NPI 1851705727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101021085

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License 5101021085 (MI)

416 CONNABLE AVE, Petoskey, MI 49770

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Katie Fulcher 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 ID3577789486

PECOS Enrollment IDI20140730001521

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 Reassignments

Medicare enrollment records show Katie Fulcher reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sound Inpatient Physicians-Michigan PLLC

50 mi

Internal Medicine

1100 E MICHIGAN AVE
Grayling, MI 49738

Reassigned Medicare billing, Michigan enrollment
596 clinicians in this Medicare group

NPI 1639311996 (989) 348-5461

Dlp Marquette Physician Practices Inc

105 mi

Family Medicine

2002 MINNEAPOLIS AVE
Gladstone, MI 49837

Reassigned Medicare billing, Michigan enrollment
440 clinicians in this Medicare group

NPI 1053667550 (906) 428-1856

Apogee Medical Group, Michigan, P.C.

143 mi

Internal Medicine

850 W BARAGA AVE
Marquette, MI 49855

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Apogee Medical Group Michigan PC
143 clinicians in this Medicare group

NPI 1053655134 (906) 449-3747

Mclaren Hospital Group

174 mi

Emergency Medicine

401 S BALLENGER HWY
Flint, MI 48532

Reassigned Medicare billing, Michigan enrollment
444 clinicians in this Medicare group

NPI 1942026174 (810) 342-3450

Hospitalist Medicine Physicians Of Michigan, PLLC

243 mi

Internal Medicine

818 RIVERSIDE AVE
Adrian, MI 49221

Reassigned Medicare billing, Michigan enrollment
237 clinicians in this Medicare group

NPI 1013180181 (330) 493-4443

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

351 services176 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

198 services191 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

57 services36 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230105

Location416 Connable AvePetoskey, MI 49770 · Emmet County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49770 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

98%47 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers11 claims11 services$58.83 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

4 suppliers64 claims64 services$20.62 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

4 suppliers66 claims66 services$116.30 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 20

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

KEELY MARIE BLOSH NP

Nurse Practitioner