DR. JENNIFER CARROLL FULTON (MD) – Pulmonary Disease Physician, NPI 1083783609

DR. JENNIFER CARROLL FULTON (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. ME104269 (FL). The NPI Number for DR. JENNIFER CARROLL FULTON (MD) is 1083783609

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER CARROLL FULTON (MD)
NPI
1083783609
Phone
(904) 253-6910
Address
1325 SAN MARCO BLVD
Enumeration Date
7 November 2006
Last Update Date
26 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
9042536910
Graduation Year
2002 (24 years ago)
PAC ID
0840208195
Group Practice PAC ID
3971602970
Professional Enrollment ID
I20100423000257
Address ID
FL322078568JA1325XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,173 PULMONARY DISEASE in FL

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Provider Addresses for DR. JENNIFER CARROLL FULTON (MD)

  • 1325, San Marco Boulevard, San Marco, Jacksonville, Duval County, Florida, 32207, United States

    REID BUILDING, STE 300

    JACKSONVILLE, FL 322078568

    Phone: (904) 253-6910

    Fax: (904) 253-6964

    Type: Location

  • 1325 SAN MARCO BLVD STE 300

    JACKSONVILLE, FL 322078567

    Phone: (904) 253-6910

    Fax: (904) 253-6964

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 504 Open Payments records for all available years, with a total value of $379,226.

Total Amount is formed as General ($379,226) + Research ($0) + Ownership ($0) = $379,226.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($240,017).

Total Amount

$379,226

General + Research + Ownership

Payments

504

Total payment records

General Amount

$379,226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100423000257IPulmonary DiseaseFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes773379$0
99291Critical care, first 30-74 minutes16275$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes16117$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days15016$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12270$0
View full utilization report →

Insurance plans in this area (ZIP 32207)

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Provider's Procedures

DR. JENNIFER CARROLL FULTON (MD) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEFL31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope1919
PULMONARY DISEASEFL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration126108

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971602970View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineFL
Nurse PractitionerFL
Pulmonary Disease, Critical Care (Intensivists)DE
Pulmonary Disease, Critical Care (Intensivists)FL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for DR. JENNIFER CARROLL FULTON (MD) in U.S. healthcare records?
The official identifier for DR. JENNIFER CARROLL FULTON (MD) is NPI 1083783609.
Is there an active status for DR. JENNIFER CARROLL FULTON (MD)?
For scheduling context, DR. JENNIFER CARROLL FULTON (MD) is shown as active in the registry.
How would a patient describe DR. JENNIFER CARROLL FULTON (MD)'s focus?
For DR. JENNIFER CARROLL FULTON (MD), the primary taxonomy reads as Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JENNIFER CARROLL FULTON (MD)?
Directory geography for DR. JENNIFER CARROLL FULTON (MD) centers on Jacksonville, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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