Individual provider Active NPI

Lindsay Fulcher

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1427765486
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018500 Issued in KY
Practice address
3240 Irvin Cobb Dr
Paducah, KY 42003-0337
Phone
(270) 443-9474
Fax
(270) 443-9477
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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 3018500 KY Primary

Addresses

Primary practice location

3240 Irvin Cobb Dr
Paducah, KY 42003-0337

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20221202002561 KY Practitioner - Nurse Practitioner 6608245220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinelake Physician Practice LLC 45 clinicians

Practice addresses (Care Compare)

1206 Paris Rd
Suite B
Mayfield, KY 42066-4989
Phone (270) 804-7160

Hospital & facility affiliations

  • Jackson Purchase Medical Center Hospital, Mayfield, KY, CCN 180116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3018500KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinelake Physician Practice, LLC Current Accepting new patients
Pinelake Physician Practice, LLC CurrentSince Jan 29, 2024 Accepting new patients
Pinelake Physician Practice, LLC CurrentSince Jan 29, 2024 Accepting new patients

Locations

1206 Paris Rd
#B
Mayfield, KY 42066
Phone (270) 251-4050

1029 Medical Center Cir
Ste 401
Mayfield, KY 42066
Phone (270) 251-4590

Interoperability endpoints

  • Direct secure messaging: lindsay.fulcher.1@19475.direct.athenahealth.com
  • Direct secure messaging: lindsay.fulcher@arcare.directbygreenway.com

Organizations & group practices 8

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 1

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1427765486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534",
            "fax_number": "870-347-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 IRVIN COBB DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420030337",
            "telephone_number": "270-443-9474",
            "fax_number": "270-443-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULCHER",
        "first_name": "LINDSAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.