Tracy Lynn Fulton, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.021791 Issued in OH

Practice address

269 Portland Way S
Galion, OH 44833-2312

Phone

(419) 468-4841

NPI assigned

Nov 30, 2017

Last updated

Dec 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians

Galion Community HospitalGroup PAC ID 5496737439, shared by 17 NPIs, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avita Ontario Hospital, Ontario, OH, CCN 360365
• Bucyrus Community Hospital Hospital, Bucyrus, OH, CCN 361316
• Galion Community Hospital Hospital, Galion, OH, CCN 361325
• Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
• University Hospitals Samaritan Medical Center Hospital, Ashland, OH, CCN 360002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: tfulton605002@direct.osumc.edu

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.

• North Central Ohio Family Care Center, Inc

  • Specialist
  • Galion, OH
  • NPI 1689822827
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avita Ontario Hospital

  • General Acute Care Hospital
  • Ontario, OH
  • NPI 1790131050
  Care Compare affiliation
• Bucyrus Community Hospital LLC

  dba Bucyrus Community Hospital

  • Critical Access Hospital
  • Bucyrus, OH
  • NPI 1104914274
  Care Compare affiliation
• Galion Community Hospital

  dba GCH Health Services

  • Critical Access Hospital
  • Galion, OH
  • NPI 1215907522
  Care Compare affiliation
• Medcentral Health System

  • General Acute Care Hospital
  • Mansfield, OH
  • NPI 1790837235
  Care Compare affiliation
• Medcentral Health System

  dba Mansfield Laboratory Services

  • Clinical Medical Laboratory
  • Mansfield, OH
  • NPI 1962888016

  Hospital

  Care Compare affiliation
• Samaritan Regional Health System

  dba University Hospitals Samaritan Medical Center

  • General Acute Care Hospital
  • Ashland, OH
  • NPI 1902882939
  Care Compare affiliation

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1316451248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR STE 250",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "614-944-4800",
            "fax_number": "614-944-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 PORTLAND WAY S",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448332312",
            "telephone_number": "419-468-4841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OH",
            "postal_code": "449061865",
            "country_code": "US",
            "telephone_number": "419-468-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULTON",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.021791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180847",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tfulton605002@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "2003 W 4th St",
            "city": "Ontario",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449061865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tfulton605002@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "269 Portland Way S",
            "city": "Galion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448332312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen T Fisher, D.O.
• Flawsome Hearts to Home LLC
• Flawsome Hearts to Your Home LLC
• Holly Jo Frankhouse, MACCCSLP
• Kristin Fulton, DPM
• Kiley Danielle Gabriel
• Gabriela Wilson DMD LLC
• Galion Assisted Living (Magnolia Terrace)
• Galion City Schools
• Galion Community Hospital (GCH Physician Practices, Bucyrus Road Campus)

• Nurse Practitioner in Galion, OH
• Providers in Galion, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.