KENDRA JEAN FULBRIGHT APRN-CNP
NPI 1952032864
Nurse Practitioner - Psychiatric/Mental Health in Tahlequah, OK

Q: What is Kendra Fulbright's NPI number?

The NPI number for Kendra Fulbright is 1952032864. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Q: What is Kendra Fulbright's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Fulbright was last updated on December 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 21, 2022PECOS EnrolledAccepts Medicare Assignment

1640 W KEETOOWAH ST, TAHLEQUAH, OK 74464(918) 708-9009(918) 708-1714 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2024, Oct 8, 2024 (2 updates tracked since 2024).

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About Kendra Jean Fulbright Aprn-cnp NPPES

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

KENDRA JEAN FULBRIGHT APRN-CNP (NPI 1952032864) is an individual psychiatric/mental health provider in Tahlequah, Oklahoma, licensed in Oklahoma (207349) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1952032864

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKENDRA JEAN FULBRIGHTCredential: APRN-CNP

Location Address1640 W KEETOOWAH STTahlequah, OK 74464-3497

Mailing Address1640 W Keetoowah StTahlequah, OK 74464-3497 · (918) 708-9009 · Fax (918) 708-1714

Phone(918) 708-9009

Fax(918) 708-1714

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 21, 2022

Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration

NPPES CertifiedDecember 3, 2024

✔ NPI 1952032864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OK · 207349

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 207349 (OK)

1640 W KEETOOWAH ST, Tahlequah, OK 74464

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health 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

Kendra Jean Fulbright Aprn-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 ID8729460969

PECOS Enrollment IDI20260331004540

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 74464 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

Other Providers at the Same Location NPPES 14

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

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