Individual provider Active NPI

Kilian Fulie, FNP

  • Family Nurse Practitioner
  • Chesterfield, MI
National Provider Identifier
1720469117
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704345633 Issued in MI
Practice address
51362 Brushford Dr
Chesterfield, MI 48047-3175
Phone
(248) 571-2274
NPI assigned
Jun 11, 2015
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704345633NSA23 MI
Family Nurse Practitioner 363LF0000X 4704345633 MI Primary

Addresses

Primary practice location

51362 Brushford Dr
Chesterfield, MI 48047-3175

Mailing address

51362 Brushford Dr
Chesterfield, MI 48047-3175
Phone (248) 571-2274

Other practice location 1

23410 Riverview Dr
Southfield, MI 48034-2051
Phone (248) 571-2274

Other names 1

  • Kilian Fulie Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Chesterfield

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241026000322 MI Practitioner - Nurse Practitioner 0547655474 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704345633NSA23MIMDNurse Practitioner
4704345633MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Home Healthcare LLC CurrentSince Jan 3, 2022 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Aug 22, 2024 Accepting new patients

Locations

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1720469117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51362 BRUSHFORD DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480473175",
            "telephone_number": "248-571-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51362 BRUSHFORD DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480473175",
            "telephone_number": "248-571-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23410 Riverview Dr",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480342051",
            "country_code": "US",
            "telephone_number": "248-571-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULIE",
        "first_name": "KILIAN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2026-09-29",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704345633NSA23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704345633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chesterfield",
            "affiliation": "N",
            "address_1": "51362 Brushford Dr",
            "city": "Chesterfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480473175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KILIAN",
            "last_name": "FULIE",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.