Individual provider Active NPI

Aubrey Fulton, ARNP

  • Nurse Practitioner
  • Naples, FL
National Provider Identifier
1144695842
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9319076 Issued in FL
Practice address
4270 Tamiami TRL E Ste 201
Naples, FL 34112-6887
Phone
(239) 799-7219
Fax
(239) 799-7209
NPI assigned
Dec 7, 2015
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9319076 FL Primary

Addresses

Primary practice location

4270 Tamiami TRL E Ste 201
Naples, FL 34112-6887

Mailing address

4270 Tamiami TRL E Ste 201
Naples, FL 34112-6887
Phone (239) 799-7219

Other identifiers 3

IdentifierTypeStateIssuer
IK340ZOtherFLMEDICARE
2DG0EOtherFLBCBS
016265800MedicaidFL

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
I20151229002485 FL Practitioner - Nurse Practitioner 8325340813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auvan Clinic-Health and Wellness Group LLCGroup PAC ID 6305243866, 2 clinicians

Practice addresses (Care Compare)

4270 Tamiami TRL E
Suite 201
Naples, FL 34112-6887
Phone (239) 799-7219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Auvan Clinic-Health and Wellness Group LLC CurrentSince Mar 29, 2021 Accepting new patients
Integrity Geriatrics LLC CurrentSince May 21, 2023 Accepting new patients
Diana Macian MD PLLC Current Accepting new patients
Pophealthcare, LLC Past Accepting new patients

Locations

1333 3rd Ave S
Ste 506
Naples, FL 34102
Phone (239) 304-8040

4270 Tamiami Trl E
Naples, FL 34112
Phone (239) 774-7523

4270 Tamiami Trl E
Ste 201
Naples, FL 34112
Phone (239) 285-4331

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: afulton22857@nchhealthcaresystem.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1144695842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 TAMIAMI TRL E STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126887",
            "telephone_number": "239-799-7219",
            "fax_number": "239-799-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 TAMIAMI TRL E STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126887",
            "telephone_number": "239-799-7219",
            "fax_number": "239-799-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "AUBREY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-07",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9319076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IK340Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2DG0E",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016265800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.