Active NPI
Fuli Richie, FNP-BC
- Nurse Practitioner
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71009360A
- Practice address
- 4209 Gateway Blvd
Newburgh, IN 47630-8900 - Phone
- (812) 426-9855
- Fax
- (812) 858-4536
- NPI assigned
- Jul 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3007890 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3008790 | KY | |
| Nurse Practitioner | 363L00000X | 71009360A | IN | Primary |
Addresses
Primary practice location
4209 Gateway Blvd
Newburgh, IN 47630-8900
Mailing address
PO Box 1510
Evansville, IN 47706-1510
Phone (812) 426-9855
Other practice location 1
9344 Emily Ct
Newburgh, IN 47630-9091
Phone (812) 489-1106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100310760 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 853-5300
Hospital & facility affiliations
- Deaconess Hospital Inc
- Memorial Hospital and Health Care Center
- Deaconess Henderson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71009360A | IN | MD | Nurse Practitioner |
| 3007890 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Clinic, Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Clinic Inc. | Nurse Practitioner | Current | Accepting new patients |
Locations
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
Organizations & group practices 3
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.
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
-
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1841607587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477061510",
"telephone_number": "812-426-9855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4209 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308900",
"telephone_number": "812-426-9855",
"fax_number": "812-858-4536"
}
],
"practiceLocations": [
{
"address_1": "9344 Emily Ct",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476309091",
"country_code": "US",
"telephone_number": "812-489-1106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHIE",
"first_name": "FULI",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3007890",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3008790",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71009360A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100310760",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.