CHRISTINE E. FULTZ (CRNA) – Certified Registered Nurse Anesthetist, NPI 1972559763

CHRISTINE E. FULTZ (CRNA) is a healthcare provider. based in Chesterland, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. NA-00618 (OH). The NPI Number for CHRISTINE E. FULTZ (CRNA) is 1972559763

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE E. FULTZ (CRNA)
NPI
1972559763
Phone
(440) 476-1436
Address
7765 WOODLANDS TRL
Enumeration Date
25 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
1850320128
Group Practice PAC ID
3072417534
Professional Enrollment ID
I20050808000044
Address ID
OH440302039CO158XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

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Provider Addresses for CHRISTINE E. FULTZ (CRNA)

  • 7765, Woodlands Trail, Chesterland, Chester Township, Geauga County, Ohio, 44026, United States

    CHESTERLAND, OH 440263000

    Phone: (440) 476-1436

    Type: Mailing

  • Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States

    CLEVELAND, OH 441950001

    Phone: (216) 444-2779

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-08-08

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
I20050808000044ICertified Registered Nurse Anesthetist (Crna)OHTBD

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 44026)

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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: 3072417534View full group profile

Reviews

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Frequently asked questions

Can I verify CHRISTINE E. FULTZ (CRNA) with an NPI only?
You can start verification with NPI 1972559763 for CHRISTINE E. FULTZ (CRNA), then check state licensing separately.
Is CHRISTINE E. FULTZ (CRNA) listed as active for patients and plans?
The listing shows CHRISTINE E. FULTZ (CRNA) as active in the NPI system.
What is CHRISTINE E. FULTZ (CRNA) best known for clinically?
Directory data describes CHRISTINE E. FULTZ (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does CHRISTINE E. FULTZ (CRNA) list a practice location?
Patients near Chesterland, Ohio may find CHRISTINE E. FULTZ (CRNA) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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