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KATHERINE ANN FULCO CNP
NPI 1922316405
Nurse Practitioner - Family in Cumming, GA

Active since September 18, 2010PECOS EnrolledAccepts Medicare Assignment
3850 WINDERMERE PKWY STE 105, CUMMING, GA 30041(678) 455-2800(770) 888-9998 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2023, Aug 16, 2021, Mar 30, 2020 (3 updates tracked since 2020).

About Katherine Ann Fulco Cnp NPPES

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

KATHERINE ANN FULCO CNP (NPI 1922316405) is an individual family provider in Cumming, Georgia, licensed in Georgia (APRN-NP316853) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2010).

NPPES Registry Identity

NPI1922316405
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE ANN FULCOCredential: CNP
Location Address3850 WINDERMERE PKWY STE 105Cumming, GA 30041-7033
Mailing Address3850 Windermere Pkwy Ste 105Cumming, GA 30041-7033 · (678) 455-2800 · Fax (770) 888-9998
Phone(678) 455-2800
Fax(770) 888-9998
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2010
Enumeration DateSeptember 18, 2010
Last NPPES UpdateOctober 13, 20253 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1922316405 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
Licenses✔ Licensed in GA · APRN-NP316853✔ Licensed in WV · 66369✔ Licensed in IN · 71010054A
3850 WINDERMERE PKWY STE 105, Cumming, GA 30041
Open in Google Maps ↗

Other Identifiers 1

Medicaid300042114IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Katherine Ann Fulco Cnp 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 ID5294901781
PECOS Enrollment IDI20230203002731
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.82 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 5

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

SYED NAYER
Nurse Practitioner (Psychiatric/Mental Health)
3850 WINDERMERE PKWY STE 105
CUMMING, GA 30041
Forsyth County (678) 455-2800
STEVEN K. TAYLOR D.O.
Internal Medicine
3850 WINDERMERE PKWY STE 105
CUMMING, GA 30041
Forsyth County (678) 455-2800
ELIZABETH LEIGH COOPER
Nurse Practitioner
3850 WINDERMERE PKWY STE 105
CUMMING, GA 30041
Forsyth County (678) 455-2800
VIJAYALAKSHMI VADDIREDDY M.D
Family Medicine
3850 WINDERMERE PKWY STE 105
CUMMING, GA 30041
Forsyth County (678) 455-2800
NISCHALA DHANEKULA MD
Internal Medicine
3850 WINDERMERE PKWY STE 105
CUMMING, GA 30041
Forsyth County (678) 455-2800

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 Katherine Fulco's NPI number?

The NPI number for Katherine Fulco is 1922316405. It was assigned to this individual provider in the NPPES registry on September 18, 2010.

Where is Katherine Fulco located?

Katherine Fulco practices at 3850 Windermere Pkwy Ste 105, Cumming, GA 30041. The listed phone number is (678) 455-2800.

What is Katherine Fulco's specialty?

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

Is Katherine Fulco enrolled in Medicare?

Yes. Katherine Fulco 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.

What insurance does Katherine Fulco accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Katherine Fulco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Fulco was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.