ELLIE FULGHAM
NPI 1891474896
Nurse Practitioner - Family in Benton, KY

Active since July 17, 2023PECOS EnrolledAccepts Medicare Assignment
2607 MAIN ST, BENTON, KY 42025(731) 394-1145 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 1, 2023, Jul 17, 2023 (2 updates tracked since 2023).

About Ellie Fulgham NPPES

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

ELLIE FULGHAM (NPI 1891474896) is an individual family provider in Benton, Kentucky, licensed in Kentucky (4001423) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Marshall County Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1891474896
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLIE FULGHAM
Location Address2607 MAIN STBenton, KY 42025-7601
Mailing Address4229 Us Highway 68 WBenton, KY 42025-6636 · (270) 205-5885
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 17, 2023
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
NPI 1891474896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 4001423
2607 MAIN ST, Benton, KY 42025

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

Ellie Fulgham 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 ID3779946421
PECOS Enrollment IDI20230828003062
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.

Areas of Expertise CMS Part B claims 3

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
46 services40 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
25 services24 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Marshall County Hospital

Critical Access Hospitals · Benton, KY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number181327
Location615 Old Symsonia RoadBenton, KY 42025 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42025 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 7

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

Internal Medicine
2607 MAIN ST
BENTON, KY 42025
Physical Therapy Assistant
2607 MAIN ST
BENTON, KY 42025
Physical Therapy Assistant
2607 MAIN ST
BENTON, KY 42025
Skilled Nursing Facility
2607 MAIN ST
BENTON, KY 42025
Skilled Nursing Facility
2607 MAIN ST
BENTON, KY 42025
Speech-Language Pathologist
2607 MAIN ST
BENTON, KY 42025
Internal Medicine
2607 MAIN ST
BENTON, KY 42025

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 Ellie Fulgham's NPI number?

The NPI number for Ellie Fulgham is 1891474896. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Ellie Fulgham located?

Ellie Fulgham practices at 2607 Main St, Benton, KY 42025. The listed phone number is (731) 394-1145.

What is Ellie Fulgham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ellie Fulgham enrolled in Medicare?

Yes. Ellie Fulgham 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 Ellie Fulgham affiliated with any hospitals?

According to CMS data, Ellie Fulgham is affiliated with Marshall County Hospital.

When was this NPI record last updated?

The NPPES record for Ellie Fulgham was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.