Joshua J Fullenkamp, NP
Individual provider Active NPI Family Nurse Practitioner · Decatur, IN
NPI 1730680372 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1730680372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71007872A (IN)
- Practice address
- 1100 Mercer Ave
Decatur, IN 46733-2303 - Phone
- (260) 724-2145
- Fax
- (260) 728-3852
- NPI assigned
- Feb 27, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adams County Memorial Hospital
Practice addresses (Care Compare)
1100 Mercer Ave
Decatur, IN 46733-2303
Phone (260) 724-2145
Hospital & facility affiliations
- Adams Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.61 of 100
- Quality
- 76.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.89
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180322001714 | IN | Practitioner - Nurse Practitioner | 6709148166 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28194969A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adams County Memorial Hospital | Current |
Accepting new patients | |
| Adams County Memorial Hospital | Current |
Accepting new patients |
Locations
1521 W Main St
Ste 1
Berne, IN 46711
Phone (260) 589-2312
1100 Mercer Ave
Decatur, IN 46733
Interoperability endpoints
- jfullenkamp131807@direct.parkviewexchange.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28194969A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71007872A | IN | Yes |
Addresses
Primary practice location
1100 Mercer Ave
Decatur, IN 46733-2303
Mailing address
1100 Mercer Ave
Decatur, IN 46733-2303
Phone (260) 724-2145
Other providers in Decatur, IN
- Andrew Forte
- Fresenius Medical Care Fort Wayne, LLC
- Fresh New Start
- Fresh New Start LLC
- Forrest Wane Fullenkamp
- Julie Lynn Fullenkamp
- Connie Jo Garrett
- Ann Marie Geimer
- Mark S Gresla
- Grote Chiropractic PC
All providers in Decatur, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.