Individual provider Active NPI

Melanie Fulk, NP

  • Family Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1962230714
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1169631 Issued in TX
Practice address
450 Cypress Creek Rd
Cedar Park, TX 78613-4194
Phone
(512) 249-1400
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1169631 TX Primary

Addresses

Primary practice location

450 Cypress Creek Rd
Cedar Park, TX 78613-4194

Mailing address

4201 Grand Vista Cir
Round Rock, TX 78665-1212
Phone (440) 570-5419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240822001943 TX Practitioner - Nurse Practitioner 6709325756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of Doctors 785 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

450 Cypress Creek Rd
BLDG 5
Cedar Park, TX 78613-4194
Phone (512) 249-1400

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Hospital & facility affiliations

  • Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1169631TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Jul 23, 2024 Accepting new patients
Seton Family of Doctors Current Accepting new patients
Timberland Medical Group Family CurrentSince Jul 23, 2024 Accepting new patients
Seton Family of Doctors CurrentSince Jun 30, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Jun 30, 2025 Accepting new patients

Locations

450 Cypress Creek Rd
Bldg 5
Cedar Park, TX 78613
Phone (512) 249-1400

450 Cypress Creek Rd
Cedar Park, TX 78613
Phone (512) 249-1400

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: melanie.fulk.1@8363.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1962230714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 GRAND VISTA CIR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651212",
            "telephone_number": "440-570-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CYPRESS CREEK RD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134194",
            "telephone_number": "512-249-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULK",
        "first_name": "MELANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1169631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.