Troy Michael Fulton

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

248871 Issued in AZ

Practice address

560 W Brown Rd Ste 1011
Mesa, AZ 85201-3222

Phone

(480) 509-7738

Fax

(480) 856-9069

NPI assigned

Jun 21, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fulton and Fulton LLCGroup PAC ID 9032524384, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fulton & Fulton LLC

  • Community Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1790384014
  Medicare reassignment Care Compare group NPD
• Fulton & Wilson

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Mesa, AZ
  • NPI 1184452955
  NPD Authorized official
• TJ Fulton Investment Group LLC

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1568206217
  NPD Authorized official
• Ahwatukee Health Care, LLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1053803676
  NPD (past)
• Arizona ZHC, LLC

  • Clinic/Center
  • Scottsdale, AZ
  • NPI 1114707544
  NPD (past)

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1053937599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W BROWN RD STE 1011",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013222",
            "telephone_number": "480-509-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W BROWN RD STE 1011",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013222",
            "telephone_number": "480-509-7738",
            "fax_number": "480-856-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "TROY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-21",
        "last_updated": "2024-07-23",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "RN168108",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "248871",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "248871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ellen Fullmer
• Thomas E Fullmer, P.T.
• Nancy Fulmore, AGACNP-BC
• Fulton & Fulton LLC
• Fulton & Wilson
• Fundamentum LLC
• Arianna Fundora
• Brian Fung, MD
• Yun Fung, NP
• Robert J Furman, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.