Caitlyn Fulk

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.008799RX Issued in OH

Practice address

3727 Friendsville Rd Unit 5
Wooster, OH 44691-7131

Phone

(302) 023-4203

Fax

(330) 202-3347

NPI assigned

Jan 6, 2023

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

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

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bloomington Medical Services LLCGroup PAC ID 9032297627, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wooster Community Hospital Hospital, Wooster, OH, CCN 360036
• Pomerene Hospital Hospital, Millersburg, OH, CCN 360148
• Pomerene Hospital Hospital, Millersburg, OH, CCN 361337
• Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Bloomington Medical Services LLC

  • Internal Medicine Physician
  • Wooster, OH
  • NPI 1528246683
  Medicare reassignment Care Compare group

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

• City of Wooster

  • General Acute Care Hospital
  • Wooster, OH
  • NPI 1437156247
  Care Compare affiliation
• Orrville Hospital Foundation

  • Critical Access Hospital
  • Orrville, OH
  • NPI 1891718375
  Care Compare affiliation
• Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
  • NPI 1770957185
  Care Compare affiliation

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1598479495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 FRIENDSVILLE RD UNIT 5",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917131",
            "telephone_number": "330-202-3420",
            "fax_number": "330-202-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 FRIENDSVILLE RD UNIT 5",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917131",
            "telephone_number": "302-023-4203",
            "fax_number": "330-202-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULK",
        "first_name": "CAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008799RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Fry
• Brian Fry
• Sonya L Fry
• Elizabeth Fugate
• Linda Fuhrer Moore
• Katerina A Fuller
• Anne Funk-Chance, LSW
• Nancy D Funk
• Janesa M Furbee, QMHS-BACH, LPN
• Victoria Lynn Furin, QMHS

• Physician Assistant in Wooster, OH
• Providers in Wooster, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.