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TRACIE FULLOVE M.D.
NPI 1962865659
Family Medicine in Fayetteville, AR

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
3162 W MARTIN LUTHER KING BLVD STE 13-14, FAYETTEVILLE, AR 72704(479) 935-4834(479) 249-9879 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2019, Mar 31, 2016 (2 updates tracked since 2016).

About Tracie Fullove M.d. NPPES

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

TRACIE FULLOVE M.D. (NPI 1962865659) is an individual family medicine provider in Fayetteville, Arkansas, licensed in Arkansas (E-11276) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (2016).

NPPES Registry Identity

NPI1962865659
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTRACIE FULLOVECredential: M.D.
Location Address3162 W MARTIN LUTHER KING BLVD STE 13-14Fayetteville, AR 72704-7679
Mailing Address607 Hampton Cir Apt GJackson, MS 39211-2334
Phone(479) 935-4834
Fax(479) 249-9879
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2016
Enumeration DateMarch 31, 2016
Last NPPES UpdateJune 19, 20192 updates tracked since enumeration
✔ NPI 1962865659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E-11276
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.
3162 W MARTIN LUTHER KING BLVD STE 13-14, Fayetteville, AR 72704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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

Tracie Fullove M.d. 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 ID2860782554
PECOS Enrollment IDI20190726000143
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 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.

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.
21 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services14 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72704 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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

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

KELLY KENDRA WILSON LCSW
Social Worker (Clinical)
3162 W MARTIN LUTHER KING BLVD STE 13-14
FAYETTEVILLE, AR 72704
Washington County (479) 935-4834

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 Tracie Fullove's NPI number?

The NPI number for Tracie Fullove is 1962865659. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Tracie Fullove located?

Tracie Fullove practices at 3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, AR 72704. The listed phone number is (479) 935-4834.

What is Tracie Fullove's specialty?

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

Is Tracie Fullove enrolled in Medicare?

Yes. Tracie Fullove 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 Tracie Fullove accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 6 other insurers list Tracie Fullove 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 Tracie Fullove was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.