NPIMap

Individual provider Active NPI

Rebecca Fulmer, M.D.

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1437505336
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR0058874 Issued in CO
Practice address
2698 Patterson Rd
Grand Junction, CO 81506-8818
Phone
(970) 298-2800
Fax
(970) 298-7522
NPI assigned
May 10, 2016
Last updated
Jan 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TL0005982 CO
Family Medicine Physician 207Q00000X DR0058874 CO Primary

Addresses

Primary practice location

2698 Patterson Rd
Grand Junction, CO 81506-8818

Mailing address

PO Box 1727
Grand Junction, CO 81502-1727
Phone (970) 298-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819002151 CO Practitioner - Family Practice 4284927229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

551 Kokopelli Blvd
Fruita, CO 81521-6305
Phone (970) 858-6677

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR0058874COMDFamily Medicine Physician
TL0005982COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC Current Accepting new patients
Community Medical Group CurrentSince Aug 1, 2019 Accepting new patients
Community Medical Group, LLC CurrentSince Aug 1, 2019 Accepting new patients
Western Medical Associates, P.C. Past Accepting new patients
Community Medical Group, LLC Family Medicine Past Accepting new patients
Community Medical Group, LLC Family Medicine Past Accepting new patients

Locations

101 Jurassic Ave
Unit B
Fruita, CO 81521
Phone (970) 858-6677

551 Kokopelli Blvd
Fruita, CO 81521
Phone (970) 270-2259

2478 Patterson Rd
Ste 27
Grand Junction, CO 81505
Phone (970) 644-4300

731 Iowa Ave
Ste A
Palisade, CO 81526
Phone (970) 644-4050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/849/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rebeccafulmer@gvpc.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1437505336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-298-2800",
            "fax_number": "970-298-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2698 PATTERSON RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068818",
            "telephone_number": "970-298-2800",
            "fax_number": "970-298-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMER",
        "first_name": "REBECCA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "TL0005982",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR0058874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.