Nancy Fulmore, AGACNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

231655 Issued in AZ

Practice address

6553 E Baywood Ave Ste 205
Mesa, AZ 85206-1754

Phone

(480) 626-2020

Fax

(480) 626-2022

NPI assigned

Sep 2, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nancy Appadurai Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.2 of 100Reported as group

Quality

67.68

Promoting interoperability

100

Improvement activities

40

Cost

76.33

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations (25 of 50)

Interoperability endpoints

• Direct secure messaging: nancy.fulmore.1@11625.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Akdhc, LLC

  dba Arizona Kidney Disease & Hypertension Center, LLC

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1316902208
  Medicare reassignment Care Compare group NPD
• Akdhc Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Phoenix, AZ
  • NPI 1346469731
  NPD
• Akdhc, LLC

  • Nephrology Physician
  • Tucson, AZ
  • NPI 1073840922
  NPD
• Akdhc, LLC

  • Nephrology Physician
  • Bullhead City, AZ
  • NPI 1487140539
  NPD
• Akdhc, LLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1205274735
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1023666146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE",
            "address_2": "STE 220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE 205",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061754",
            "telephone_number": "480-626-2020",
            "fax_number": "480-626-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMORE",
        "first_name": "NANCY",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "231655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "586587",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "APPADURAI",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosemary Fuller, R.N.
• Tecla Fuller, DC
• Zaria Fuller, RBT
• Samantha Ellen Fullmer
• Thomas E Fullmer, P.T.
• Fulton & Fulton LLC (Mesquite Valley Integrated Health)
• Fulton & Wilson (San Creek Mental Health & Wellness)
• Troy Michael Fulton
• Fundamentum LLC
• Arianna Fundora

• Gerontology Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.