KRISTIN MARIE FULKERSON (MD) – Family Medicine Physician, NPI 1174701239
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 FAMILY PRACTICE in NE
Provider Addresses for KRISTIN MARIE FULKERSON (MD)
71882 PIETRO DR
MC COOK, NE 690017279
Phone: (712) 308-6820
Type: Mailing
1401 E H ST
MC COOK, NE 690013589
Phone: (308) 344-4110
Fax: (308) 344-8369
Type: Location
PO BOX 1207
MC COOK, NE 690011207
Phone: (308) 344-4110
Type: Mailing
1301 E H ST
MC COOK, NE 690013482
Phone: (308) 344-4110
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $115.
Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.
Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Novo Nordisk Inc ($60).
Total Amount
$115
General + Research + Ownership
Payments
7
Total payment records
General Amount
$115
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $60 |
| Boston Scientific Corporation | $25 |
| Lilly USA, LLC | $16 |
| E.R. Squibb & Sons, L.L.C. | $14 |
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: 2014-07-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1044 days ago).
Enrollment records
1
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140724000307 | I | Family Practice | NE | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 3,780 | 39 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 852 | 404 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 731 | 377 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 609 | 370 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 555 | 361 | $0 |
Insurance plans in this area (ZIP 69001)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NE | |
| Family Practice | NE | |
| Radiation Oncology | NE | |
| Physician Assistant | NE | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Nurse Practitioner | NE | |
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| Nurse Practitioner | NE | |
| Family Practice | WY | |
| Certified Registered Nurse Anesthetist (Crna) | NE |
Reviews
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