Individual provider Active NPI

Brandy Sheree Fulton, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1043873441
Registry record updated Apr 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11001387 Issued in FL
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

Updated by the provider on Apr 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220223002076 FL Practitioner - Nurse Practitioner 8426480047 Reassigns benefits to 4 organizations

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.Group PAC ID 9133025869, shared by 5 NPIs, 908 clinicians

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 Home health agency, Jacksonville, FL, CCN 107125
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
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

LicenseStateTypeSpecialty
11001387FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Families First Medical Group LLC CurrentSince Nov 11, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Feb 5, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Minuteclinic LLC Family CurrentSince Jan 13, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Feb 5, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.