John Fulk, P.A

ActiveIndividual ProviderPhysician Assistant
NPI issued: June 29, 2005

Quick Facts

NPI Number
1063419679
TypeIndividual
StatusActive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(309) 454-5900
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1063419679)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 29, 2005)
Data source: CMS NPPES

Provider Overview

JOHN FULK, P.A is a Physician Assistant provider based in Normal, IL who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1063419679
Provider TypeIndividual Provider
GenderMale
CredentialP.A
StatusActive
Enumeration DateJune 29, 2005

Practice Location

CityNormal
StateIL
ZIP Code61761-3551
Phone(309) 454-5900

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateIL

Mailing Address

CityNormal
StateIL
ZIP Code61761-3551
Phone(309) 454-5900
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1063419679 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1063419679for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1063419679 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

📊
158,607
Physician Assistant Providers in the US

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People Also Ask

What is John Fulk's NPI number?
John Fulk's NPI number is 1063419679, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is John Fulk's NPI currently active?
Yes, John Fulk's NPI status is Active as of the latest CMS NPPES database updates.
What does John Fulk specialize in?
John Fulk specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does John Fulk practice?
John Fulk practices in Normal, IL 61761-3551.
When was John Fulk's NPI issued?
John Fulk's NPI was issued on June 29, 2005.
What is John Fulk's provider type?
John Fulk is registered as an Individual Provider under CMS NPI Type 1.