MELANIE JEAN FULLMER (APRN) – Acute Care Nurse Practitioner, NPI 1467113852

MELANIE JEAN FULLMER (APRN) is a healthcare provider. based in Kansas city, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 2021051080 (MO). The NPI Number for MELANIE JEAN FULLMER (APRN) is 1467113852

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE JEAN FULLMER (APRN)
NPI
1467113852
Phone
(913) 588-5000
Address
4000 Cambridge St
Enumeration Date
6 January 2022
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9135881227
Graduation Year
2021 (5 years ago)
PAC ID
6709279714
Group Practice PAC ID
8921911587
Professional Enrollment ID
I20250827004876
Address ID
KS661600001KA4000XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:4State licenses:3Digital endpointsOther names

3,576 NURSE PRACTITIONER in KS

Provider Addresses for MELANIE JEAN FULLMER (APRN)

  • 4000 Cambridge St

    Kansas City, KS 661603274

    Phone: (913) 588-5000

    Type: Location

  • 2790 CLAY EDWARDS DR STE 520

    NORTH KANSAS CITY, MO 641163274

    Phone: (816) 691-5198

    Fax: (816) 346-7095

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-05-24 • Largest payer in this snapshot: Stryker Corporation ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$17
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: 2025-08-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220215000090INurse PractitionerMOTBD
I20250827004876INurse PractitionerKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66160)

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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: 8921911587View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows MELANIE JEAN FULLMER (APRN) across health systems?
The NPI 1467113852 uniquely identifies MELANIE JEAN FULLMER (APRN) in U.S. healthcare data.
Should I treat MELANIE JEAN FULLMER (APRN) as an active provider?
Patients and plans typically see MELANIE JEAN FULLMER (APRN) as active in the national extract.
Which specialty label fits MELANIE JEAN FULLMER (APRN)?
NPPES ties MELANIE JEAN FULLMER (APRN) to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MELANIE JEAN FULLMER (APRN)?
MELANIE JEAN FULLMER (APRN) shows a connection to Kansas City, Kansas in registry-derived data.
Can I export MELANIE JEAN FULLMER (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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