Individual provider Active NPI

Heather Nicole Fulhorst, FNP-BC

  • Family Nurse Practitioner
  • Taylorville, IL
National Provider Identifier
1043870314
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019724 Issued in IL
Practice address
1141 N Cheney St
Taylorville, IL 62568-2741
Phone
(217) 788-2300
NPI assigned
Jun 18, 2019
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209019724 IL Primary
Registered Nurse 163W00000X 041361813 IL

Addresses

Primary practice location

1141 N Cheney St
Taylorville, IL 62568-2741

Mailing address

2239 E Cook St
Springfield, IL 62703-1944
Phone (217) 788-2300

Other practice location 1

350 W Carpenter St
Springfield, IL 62702-4902
Phone (217) 546-5395

Other names 1

  • Mrs. Heather Nicole Fulhorst Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20200311000859 IL Practitioner - Nurse Practitioner 6608204383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Central Counties Health Centers, Inc.Group PAC ID 3274445762, shared by 5 NPIs, 16 clinicians
Springfield Clinic, LLPGroup PAC ID 0547166076, 678 clinicians

Practice addresses (Care Compare)

2239 E Cook St
Springfield, IL 62703-1944
Phone 21778823002307

350 W Carpenter St
Springfield, IL 62702-4902
Phone (217) 525-0210

775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041361813ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Clinic, LLP CurrentSince Dec 1, 2025 Accepting new patients
Pana Community Hospital Association Current Accepting new patients

Locations

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

350 W Carpenter St
Springfield, IL 62702
Phone (217) 525-0210

775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

Interoperability endpoints

  • Direct secure messaging: heather.fulhorst.1@28977.direct.athenahealth.com
  • Direct secure messaging: heather.fulhorst@cchci.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1043870314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 E COOK ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627031944",
            "telephone_number": "217-788-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N CHENEY ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625682741",
            "telephone_number": "217-788-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 W Carpenter St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627024902",
            "country_code": "US",
            "telephone_number": "217-546-5395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULHORST",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019724",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041361813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "FULHORST",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Taylorville, IL

Sources for this page

Verify at the official NPI Registry.