Amy Fulton, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33670 Issued in IA

Practice address

5615 NW 86TH St
Johnston, IA 50131-1738

Phone

(515) 643-6000

Fax

(515) 643-6001

NPI assigned

Aug 5, 2006

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

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Iowa, RJ & L Carver College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Des Moines Home Care Home health agency, Des Moines, IA, CCN 167133
• Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: afulton3944944@direct.trinity-health.org

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

• Mercy Clinics, Inc.

  dba MercyOne Clive Family Medicine Clinic

  • Primary Care Clinic/Center
  • Clive, IA
  • NPI 1487670923

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Mercy Clinics, Inc

  dba MercyOne Grimes Family Medicine Clinic

  • Primary Care Clinic/Center
  • Johnston, IA
  • NPI 1194741694
  NPD
• Mercy Clinics, Inc.

  dba MercyOne Clive Infectious Disease Care Clinic

  • Endocrinology, Diabetes & Metabolism Physician
  • Des Moines, IA
  • NPI 1457691941
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives - Iowa Corp

  dba MercyOne West Des Moines Medical Center

  • General Acute Care Hospital
  • West Des Moines, IA
  • NPI 1538395975
  Care Compare affiliation
• Catholic Health Initiatives-Iowa Corp

  dba MercyOne Des Moines Laboratory

  • Clinical Medical Laboratory
  • Des Moines, IA
  • NPI 1104982743

  Hospital

  Care Compare affiliation
• Catholic Health Initiatives-Iowa Corp

  dba MercyOne Des Moines Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1508964883
  Care Compare affiliation
• Catholic Health Initiatives, Ia-Corp

  dba Mercy Medical Mammography Center

  • Mammography Clinic/Center
  • Des Moines, IA
  • NPI 1477984367

  Hospital

  Care Compare affiliation
• Trinity Home Health Services

  dba MercyOne Des Moines Home Care

  • Home Health Agency
  • Des Moines, IA
  • NPI 1982993317
  Care Compare affiliation

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1043229446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 NW 86TH ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311738",
            "telephone_number": "515-643-6000",
            "fax_number": "515-643-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "AMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "33670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1188094",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin L Fox-Hammel, DNP ARNP FNP-C PMHNP
• Laurene Franco
• Rachel J Fratzke
• Beth Frettim, PMHNP-BC
• Jack Henry Fritz
• Furrow Family Dentistry, PLC
• Derek Furrow, DDS
• Emily Furrow, DDS
• Kami Gaddis, LMSW
• Jessica Gambrel

• Family Medicine Physician in Johnston, IA
• Providers in Johnston, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.