Stacey Bennett-Fulmer, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP019041 Issued in PA

Practice address

2106 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644

Phone

(717) 393-1771

NPI assigned

Sep 13, 2018

Sex

Female

Sole proprietor

No

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.

• Clearfield-Jefferson Primary Care Associates PC

  • Family Medicine Physician
  • Du Bois, PA
  • NPI 1710233895

  PA

  Medicare reassignment Care Compare group NPD
• Alliance Physician Services, PC

  • Urology Physician
  • Paoli, PA
  • NPI 1952829350

  PA

  Medicare reassignment NPD
• Lancaster Behavioral Health Hospital LLC

  • Psychiatric Hospital
  • Lancaster, PA
  • NPI 1063929115

  PA

  Medicare reassignment NPD
• The Centers for Advanced Urology LLP

  • Non-Pharmacy Dispensing Site
  • Lancaster, PA
  • NPI 1922057629

  PA

  Medicare reassignment NPD
• Wellspan Medical Group

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004

  PA

  Medicare reassignment NPD
• Alliance Physician Services, PC /Dba Midlantic Urology

  • Urology Physician
  • Bala Cynwyd, PA
  • NPI 1558889956
  NPD
• Lancaster Urology PC

  • Urology Physician
  • Lancaster, PA
  • NPI 1316449879
  NPD
• Wellspan Medical Group

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Alliance Physician Services, PC

  • Urology Physician
  • Wake Forest, NC
  • NPI 1316811888
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Residential Home Health of Carlisle, LLC

  • Home Health Agency
  • Mechanicsburg, PA
  • NPI 1396797163
  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clearfield-Jefferson Primary Care Associates PC 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Home Health of Carlisle, LLC Home health agency, Mechanicsburg, PA, CCN 397047

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2023.

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1992288062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BERNVILLE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059453",
            "telephone_number": "610-378-2000",
            "fax_number": "610-378-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-393-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT-FULMER",
        "first_name": "STACEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Kathryn Benjamin
• Frantz Luther Benjamin, PHARM.D.
• Leigh Benko
• Tamara S. Bennawit, AUD
• Brenna Benner, BSW
• Amy B Bennett, PT
• Jamie Bennett
• Margaret S Bennett, OTR L
• Nancy Bennett, CRNP
• Ruth Benns-Suter, PHD

• All providers in Lancaster, PA
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.