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

Last updated

Sep 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clearfield-Jefferson Primary Care Associates PCGroup PAC ID 6002064433, 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clearfield-Jefferson Primary Care Associates PC

  • Family Medicine Physician
  • Du Bois, PA
  • NPI 1710233895
  Medicare reassignment Care Compare group NPD
• Alliance Physician Services PC

  dba Keystone Urology Specialists

  • Non-Pharmacy Dispensing Site
  • Lancaster, PA
  • NPI 1922057629
  Medicare reassignment NPD
• Alliance Physician Services, PC

  dba MidLantic Urology

  • Urology Physician
  • Paoli, PA
  • NPI 1952829350
  Medicare reassignment NPD
• Lancaster Behavioral Health Hospital LLC

  dba Lancaster Behavioral Health Hospital

  • Psychiatric Hospital
  • Lancaster, PA
  • NPI 1063929115
  Medicare reassignment NPD
• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment NPD
• Alliance Physician Services, PC

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

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

  dba WellSpan Pediatric Surgical Specialist

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

  dba Associated Urologists of North Carolina

  • 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

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

{
    "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

• Nurse Practitioner in Lancaster, PA
• Providers in Lancaster, PA by specialty
• 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.