NPIMap

Individual provider Active NPI

Katie Fulcher

  • Family Medicine Physician
  • Petoskey, MI
National Provider Identifier
1851705727
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101021085 Issued in MI
Practice address
416 Connable Ave
Petoskey, MI 49770-2212
Phone
(231) 487-7969
NPI assigned
Jun 18, 2014
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101021085 MI Primary
Hospitalist Physician 208M00000X 5101021085 MI

Addresses

Primary practice location

416 Connable Ave
Petoskey, MI 49770-2212

Mailing address

3359 Vineyard CT
Petoskey, MI 49770-8559
Phone (906) 202-0496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140730001521 MI Practitioner - HospitalistPractitioner - Family Practice 3577789486 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Practice addresses (Care Compare)

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Michigan, PLLC Current Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC CurrentSince Jun 1, 2019 Accepting new patients
Apogee Medical Group, Michigan, PC CurrentSince Sep 20, 2016 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Family Medicine CurrentSince Nov 18, 2017 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jul 1, 2014 Accepting new patients
McLaren Northern Michigan CurrentSince Apr 1, 2023 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince Nov 18, 2017 Accepting new patients
Munising Memorial Hospital Association Current Accepting new patients
DLP Marquette Physician Practices Inc Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
McLaren Northern Michigan Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
McLaren Hospital Group Hospitalist CurrentSince Nov 11, 2025 Accepting new patients
McLaren Northern Michigan Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1500 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4110

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

Organizations & group practices 12

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 4

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1851705727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 VINEYARD CT",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708559",
            "telephone_number": "906-202-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CONNABLE AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702212",
            "telephone_number": "231-487-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULCHER",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101021085",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "5101021085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.