Vanessa Fulton, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN9319599 Issued in FL

Practice address

4270 Tamiami TRL E Ste 201
Naples, FL 34112-6887

Phone

(239) 799-7219

Fax

(239) 799-7209

NPI assigned

Dec 10, 2018

Last updated

Aug 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Auvan Clinic-Health and Wellness Group LLCGroup PAC ID 6305243866, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Auvan Clinic-Health and Wellness Group LLC

  • Primary Care Clinic/Center
  • Naples, FL
  • NPI 1376125880
  Medicare reassignment Care Compare group NPD
• Vanessa Fulton Consultant LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Naples, FL
  • NPI 1326839069
  NPD Authorized official
• Diana Macian MD PLLC

  • General Practice Physician
  • Naples, FL
  • NPI 1760263412
  NPD

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1841761368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 TAMIAMI TRL E STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126887",
            "telephone_number": "239-799-7219",
            "fax_number": "239-799-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 TAMIAMI TRL E STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126887",
            "telephone_number": "239-799-7219",
            "fax_number": "239-799-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "VANESSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9319599",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "25008",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101678900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "DE7CH",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Marcela Fuentes, CNM, APRN
• Barbara A. Fueredi, D.D.S.
• Alexandra Fuller, DDS
• Shea Alison Fuller, LCSW
• Aubrey Fulton, ARNP
• Deanna Marie Funaro, PT, DPT
• Function Physical Therapy
• Functional Medicine Aprn LLC (Naples Clinic)
• Kathy M Fuqua
• Lauren Ashley Furman Cline, MD

• Gerontology Nurse Practitioner in Naples, FL
• Providers in Naples, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.

Verify at the official NPI Registry.