Individual provider Active NPI

Keri Rose Fulton

  • Nurse Practitioner
  • Altoona, PA
National Provider Identifier
1700484946
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP022438 Issued in PA
Practice address
620 Howard Ave
Altoona, PA 16601-4804
Phone
(814) 889-2011
NPI assigned
Oct 10, 2020
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP022438 PA Primary

Addresses

Primary practice location

620 Howard Ave
Altoona, PA 16601-4804

Mailing address

2527 Broad Ave Apt 1
Altoona, PA 16601-1912
Phone (724) 599-9091

Other practice location 1

601 Norland Ave Ste 100
Chambersburg, PA 17201-4235
Phone (717) 264-1600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kfulton537202@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201119001911 PA Practitioner - Nurse Practitioner 7517378748 Reassigns benefits to 1 organization
I20260115000594 MD Practitioner - Nurse Practitioner 7517378748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12501 Willowbrook Rd
FL 3
Cumberland, MD 21502-2506

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022438PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Feb 28, 2024 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Dec 26, 2025 Accepting new patients
Pittsburgh Critical Care Associates, Inc CurrentSince Nov 1, 2020 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Upmc Western Maryland Health Services , LLC CurrentSince Dec 26, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Feb 28, 2024 Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

601 Norland Ave
Ste 100
Chambersburg, PA 17201

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: kfulton421333@wellspan.direct-ci.com
  • Direct secure messaging: kfulton537202@upmc.direct-ci.com

Organizations & group practices 7

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 6

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": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1700484946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 BROAD AVE APT 1",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011912",
            "telephone_number": "724-599-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804",
            "telephone_number": "814-889-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Norland Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014235",
            "country_code": "US",
            "telephone_number": "717-264-1600",
            "fax_number": "717-264-6319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULTON",
        "first_name": "KERI",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-10",
        "last_updated": "2026-08-12",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP022438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfulton537202@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.