Active NPI
Brandy Sheree Fulton, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11001387
- Practice address
- 3900 University Blvd S
Jacksonville, FL 32216-4331 - Phone
- (904) 222-6656
- Fax
- (904) 222-6657
- NPI assigned
- Apr 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11001387 | FL | Primary |
Addresses
Primary practice location
3900 University Blvd S
Jacksonville, FL 32216-4331
Mailing address
4197 Victoria Lakes Dr W
Jacksonville, FL 32226-0703
Phone (904) 504-4405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Florida Jacksonville Physicians, Inc.
Practice addresses (Care Compare)
1255 Lila St
Jacksonville, FL 32208-3550
3122 New Berlin Rd
Jacksonville, FL 32226-1828
Phone (904) 633-0340
653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-7874
655 W 8TH St
Jacksonville, FL 32209-6511
Hospital & facility affiliations
- Uf Health Home Care - Jacksonville
- Shands Jacksonville
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11001387 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families First Medical Group LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Minuteclinic LLC | Family | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Past | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
11555 Central Pkwy
Ste 402
Jacksonville, FL 32224
Phone (904) 747-3800
1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700
121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380
12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473
8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840
7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943
5466 Thomasville Rd
Tallahassee, FL 32312
Phone (850) 893-8116
Interoperability endpoints
- bfulton38609@direct.shands.ufl.edu
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1154942563
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1487814752
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Family Medicine Physician
- Yulee, FL
- NPI 1518126168
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- Home Health Agency
- Jacksonville, FL
- NPI 1669563557
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555804800000",
"number": "1043873441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4197 VICTORIA LAKES DR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322260703",
"telephone_number": "904-504-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164331",
"telephone_number": "904-222-6656",
"fax_number": "904-222-6657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "BRANDY",
"middle_name": "SHEREE",
"name_prefix": "Miss",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-21",
"last_updated": "2019-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11001387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.