Rachel Fulton

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2017028411 Issued in MO

Practice address

1634 E 63Rd St
Kansas City, MO 64110-3502

Phone

(816) 381-5648

Fax

(816) 281-1871

NPI assigned

Nov 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Street Health Physicians Group of Missouri LLCGroup PAC ID 7315340213, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Oak Street Health Physicians Group of Missouri, LLC

  • Primary Care Clinic/Center
  • Saint Louis, MO
  • NPI 1669041760

  Family

  Medicare reassignment Care Compare group NPD
• Oak Street Health Physicians Group of Kansas LLC

  • Primary Care Clinic/Center
  • Kansas City, KS
  • NPI 1336836949

  Family

  Medicare reassignment NPD

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1861934341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 N CHURCH ROAD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581104",
            "telephone_number": "913-297-7472",
            "fax_number": "816-407-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 E 63RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103502",
            "telephone_number": "816-381-5648",
            "fax_number": "816-281-1871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Nebraska Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661012111",
            "country_code": "US",
            "telephone_number": "913-951-8731",
            "fax_number": "913-426-9057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16659 E 23rd St S",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640551922",
            "country_code": "US",
            "telephone_number": "816-688-6000",
            "fax_number": "816-631-1885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8350 N Church Road",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641581104",
            "country_code": "US",
            "telephone_number": "913-297-7472",
            "fax_number": "816-407-9053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULTON",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-125338-032",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2010022281",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "14-125338-032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77619-032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017028411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabe Fuller
• Jordan S Fuller, PHD
• Robert Wayne Fuller Jr., LMT
• Katelynn S Fullmer, PLPC
• Nikcola Fulton
• Function Forward Physical Therapy LLC
• Functional Chiropractic
• Cathay Chunhong Fung, MD, LAC
• Paul Salvador Fung
• Allan Victor Fungo

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.