Jessica Fultz, FNP-C
Individual provider Active NPI Family Nurse Practitioner · King City, MO
NPI 1306603485 · NPPES record last updated Jun 17, 2026
Key facts
- NPI
- 1306603485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F01241111 (MO)
- Practice address
- 305 Rhode Island St
King City, MO 64463-9622 - Phone
- (913) 638-1348
- NPI assigned
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241009001602 | MO | Practitioner - Nurse Practitioner | 6800327248 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F01241111 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Health Services, Inc | Current | Accepting new patients | |
| Northwest Health Services Inc | Current | Accepting new patients | |
| Northwest Health Services, Inc | Current | Accepting new patients | |
| Northwest Health Services Inc | Current |
Accepting new patients | |
| Northwest Health Services Inc | Current | Accepting new patients | |
| Lester E. Cox Medical Centers | Current | Accepting new patients | |
| Northwest Health Services Inc | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Northwest Health Services Inc | Current | Accepting new patients | |
| Northwest Health Services, Inc | Past | Accepting new patients | |
| Northwest Health Services, Inc | Past | Accepting new patients | |
| Northwest Health Services Inc | Past | Accepting new patients | |
| Lester E Cox Medical Centers | Past | Accepting new patients |
Locations
109 N Main St
Braymer, MO 64624
Phone (660) 234-3090
707 Victory Ln
Cainsville, MO 64632
Phone (660) 893-5750
300 W Business 36
Chillicothe, MO 64601
Phone (660) 280-2500
101 Cross St
Hamilton, MO 64644
Phone (816) 583-2151
305 Rhode Island St
King City, MO 64463
Phone (660) 535-4347
1303 State St
Mound City, MO 64470
Phone (660) 442-5464
5001 Lake Ave
Saint Joseph, MO 64504
Phone (816) 238-7788
2303 Village Dr
Saint Joseph, MO 64506
Phone (816) 232-6818
5026 Faraon St
Saint Joseph, MO 64506
Phone (816) 279-1591
1000 5th Ave
Saint Joseph, MO 64505
Phone (816) 233-3338
803 W US Highway 71
Savannah, MO 64485
Phone (816) 324-3121
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F01241111 | MO | Yes |
Addresses
Primary practice location
305 Rhode Island St
King City, MO 64463-9622
Mailing address
305 Rhode Island St
King City, MO 64463-9622
Other practice location 1
525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 875-2627
Other practice location 2
3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-9812
Other providers in King City, MO
- Cameron Regional Medical Center, Inc.
- Countryside Village Assisted Living Facility, LLC
- Davis Management Services, Inc.
- Whitney Freeman
- Fuemmeler Holdings, LLC
- Harborview King City LLC
- Harborview King City LLC
- King City Healthcare, LLC
- King City R-I Schools
- Teresa Marie McDonald
All providers in King City, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.