Individual provider Active NPI

Kristin Fulton, DPM

  • Podiatrist
  • Galion, OH
National Provider Identifier
1487208476
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
59.00084 Issued in OH
Practice address
396 Portland Way N
Galion, OH 44833-2603
Phone
(419) 775-3860
NPI assigned
Jul 28, 2019
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Podiatrist 213E00000X 59.00084 OH Primary

Addresses

Primary practice location

396 Portland Way N
Galion, OH 44833-2603

Mailing address

396 Portland Way N
Galion, OH 44833-1115
Phone (419) 775-3860

Other practice location 1

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-9495

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230825000955 OH Practitioner - Podiatry 9537522479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Mid West Medical College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lorain Specialty Care LLCGroup PAC ID 4688070055, 134 clinicians

Practice addresses (Care Compare)

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (440) 988-1009

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59.00084OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Jan 26, 2025 Accepting new patients
Gentle Footcare LLC Podiatrist CurrentSince Jun 10, 2023 Accepting new patients
Gentle Footcare LLC Current Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Jan 26, 2025 Accepting new patients
Gentle Footcare LLC CurrentSince Jun 10, 2023 Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

3255 E Livingston Ave
Columbus, OH 43227
Phone (614) 239-0399

396 Portland Way N
Galion, OH 44833
Phone (419) 462-5543

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

Interoperability endpoints

  • Direct secure messaging: kfulton2473487@direct.bsmhealth.org

Organizations & group practices 5

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 2

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": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1487208476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 PORTLAND WAY N",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448331115",
            "telephone_number": "419-775-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 PORTLAND WAY N",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448332603",
            "telephone_number": "419-775-3860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-9495",
            "fax_number": "419-251-3271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULTON",
        "first_name": "KRISTIN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "59.00084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galion, OH

Sources for this page

Verify at the official NPI Registry.