Katelyn O Fulkerson, FNP - Medicare Nurse Practitioner in Newburgh, IN

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Katelyn O Fulkerson, FNP is a medicare enrolled "Nurse Practitioner" in Newburgh, Indiana. Her current practice location is 4209 Gateway Blvd, Newburgh, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 853-5300.

Katelyn O Fulkerson is licensed to practice in Indiana (license number 71010802A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497342075.

Contact Information

Katelyn O Fulkerson, FNP
4209 Gateway Blvd,
Newburgh, IN 47630-8900
(812) 853-5300
(812) 858-4660

Map and Direction




Provider's Profile

Full NameKatelyn O Fulkerson
GenderFemale
SpecialityNurse Practitioner
Location4209 Gateway Blvd, Newburgh, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497342075
  • Provider Enumeration Date: 12/29/2020
  • Last Update Date: 10/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678987872
  • Enrollment ID: I20210304001644

Medical Identifiers

Medical identifiers for Katelyn O Fulkerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497342075NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28229841A (Indiana)Secondary
208000000XPediatrics 71010802A (Indiana)Secondary
363L00000XNurse Practitioner 71010802A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katelyn O Fulkerson allows following entities to bill medicare on her behalf.
Entity NameDeaconess Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619123585
PECOS PAC ID: 3375610116
Enrollment ID: O20080922000145

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katelyn O Fulkerson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katelyn O Fulkerson, FNP
Po Box 1510,
Evansville, IN 47706-1510

Ph: (812) 450-6815		Katelyn O Fulkerson, FNP
4209 Gateway Blvd,
Newburgh, IN 47630-8900

Ph: (812) 853-5300

Reviews and Comments


Nurse Practitioner Nurses in Newburgh, IN

Allison Jo Martin, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4055 Gateway Blvd, Newburgh, IN 47630
Phone: 812-858-3051    Fax: 812-858-3060
Emily Christine York,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4055 Gateway Blvd, Newburgh, IN 47630
Phone: 812-858-3051    Fax: 812-858-3060
Margie Huff,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4209 Gateway Blvd, Newburgh, IN 47630
Phone: 812-842-2800    Fax: 812-842-2901
Kelli Shea Dempsey, ACNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4055 Gateway Blvd, Newburgh, IN 47630
Phone: 812-842-2210    Fax: 812-842-4599
Amy Carol Wall, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4199 Gateway Blvd Ste 2300, Newburgh, IN 47630
Phone: 812-858-4610    Fax: 812-858-4635
Jessica Solomon Ranes, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4199 Gateway Blvd Ste 3100, Newburgh, IN 47630
Phone: 812-842-4550    Fax: 812-842-4549
Sydney Moats Schweikhard,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4209 Gateway Blvd, Newburgh, IN 47630
Phone: 812-842-2800    Fax: 812-842-2901

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.