Active NPI
Melanie Fulk, NP
- Family Nurse Practitioner
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1169631
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1169631 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timberland Medical Group | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Timberland Medical Group | Family | Current | Accepting new patients |
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | 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
- 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.
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
- Neurological Surgery Physician
- Kyle, TX
- NPI 1730412388
-
- Durable Medical Equipment & Medical Supplies
- Cedar Park, TX
- NPI 1023790045
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.