Individual provider Active NPI

Krystle Fulton, CRNP

  • Family Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1629683248
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022110 Issued in PA
Practice address
7535 Windsor Dr # 100
Allentown, PA 18195-1014
Phone
(610) 590-8638
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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 SP022110 PA Primary

Addresses

Primary practice location

7535 Windsor Dr # 100
Allentown, PA 18195-1014

Mailing address

7535 Windsor Dr Ste 100
Allentown, PA 18195-1014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210629003851 PA Practitioner - Nurse Practitioner 2860893765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palliative Care From the Heart PCGroup PAC ID 6204201197, 3 clinicians

Practice addresses (Care Compare)

4818 Rafi Rd
Easton, PA 18045-5683
Phone (484) 542-6867

800 Hausman Rd
Allentown, PA 18104-9393
Phone (610) 391-8203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care From the Heart PC Family CurrentSince Jul 3, 2023 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Jan 10, 2022 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Mar 25, 2021 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Mar 25, 2021 Accepting new patients

Locations

L2540
Columbus, OH 43260

535 N 17th St
Allentown, PA 18104
Phone (610) 432-4351

1265 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 776-7522

60 Highland Rd
Bethel Park, PA 15102
Phone (412) 531-6050

2029 Westgate Dr
Bethlehem, PA 18017
Phone (610) 861-0100

2021 Westgate Dr
Bethlehem, PA 18017
Phone (610) 861-0100

3370 High Point Blvd
Bethlehem, PA 18017
Phone (484) 245-7177

4100 Freemansburg Ave
Easton, PA 18045
Phone (610) 330-9030

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1629683248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 WINDSOR DR STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181951014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 WINDSOR DR # 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181951014",
            "telephone_number": "610-590-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "KRYSTLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.