Austin Fultz, CRNA DNAP

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3017299 Issued in KY

Practice address

250 Park St
Bowling Green, KY 42101-1760

Phone

(270) 745-1111

NPI assigned

Oct 7, 2021

Sex

Male

Sole proprietor

Yes

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 KY, TN, TX3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pampa Regional Medical Center Hospital, Pampa, TX, CCN 451398

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/b673e6c7-c87b-498f-86b2-99b24c52c924/
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000

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.

• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Forefront Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Clarksville, TN
  • NPI 1942858394

  KY, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Henry County Medical Center

  • Hospitalist Physician
  • Paris, TN
  • NPI 1073765475
  Medicare reassignment NPD
• West Tennessee Healthcare Henry County

  • Certified Registered Nurse Anesthetist
  • Paris, TN
  • NPI 1316393176

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Henry County Medical Center

  • Rural Health Clinic/Center
  • Paris, TN
  • NPI 1588275317
  NPD
• West Tennessee Healthcare Henry County

  • Rural Health Clinic/Center
  • Paris, TN
  • NPI 1447861562
  NPD

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

• Prime Healthcare Services Pampa LLC

  • Critical Access Hospital
  • Pampa, TX
  • NPI 1700509577
  Care Compare affiliation

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1669134664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2697",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421027697",
            "telephone_number": "270-745-1111",
            "fax_number": "270-745-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011760",
            "telephone_number": "270-745-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTZ",
        "first_name": "AUSTIN",
        "name_prefix": "Mr.",
        "credential": "CRNA DNAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3017299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fuller Life Health and Wellness
• Callie Brooke Fuller, MSW, CSW
• Kristina Fuller, LPCC
• Megan Fuller, PT, DPT
• Megan Rae Fults, M.S., BCBA
• Jan J Funk, APRN, BC
• Rebecca Fuqua, APRN
• Karen Furgal, PT, DPT, PCS
• Joni Furlong, LCADC
• Elizabeth Carlton Furrow, BSW

• Certified Registered Nurse Anesthetist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.