HOLLY JEANNE FULLBRIGHT (APRN) – Nurse Practitioner, NPI 1568916740

HOLLY JEANNE FULLBRIGHT (APRN) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 129126 (OK). The NPI Number for HOLLY JEANNE FULLBRIGHT (APRN) is 1568916740

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY JEANNE FULLBRIGHT (APRN)
NPI
1568916740
Phone
(918) 579-5749
Address
1145 S UTICA AVE STE 460
Enumeration Date
5 August 2016
Last Update Date
5 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183928856
Graduation Year
2016 (10 years ago)
PAC ID
0547556243
Group Practice PAC ID
6103118153
Professional Enrollment ID
I20180608000361
Address ID
OK741374200TU2440XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for HOLLY JEANNE FULLBRIGHT (APRN)

  • South Utica Avenue, Andalusia, Tulsa, Tulsa County, Oklahoma, 74114, United States

    TULSA, OK 741044041

    Phone: (918) 579-5749

    Fax: (918) 579-5762

    Mailing address matches the actual address.

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: 2018-06-08

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
I20180608000361INurse PractitionerOKTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes483182$0
99205New patient office or other outpatient visit, 60-74 minutes185185$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes169158$0
99215Established patient office or other outpatient visit, 40-54 minutes6960$0
99284Emergency department visit with moderate level of medical decision making1312$0
View full utilization report →

Insurance plans in this area (ZIP 74104)

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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: 6103118153View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm HOLLY JEANNE FULLBRIGHT (APRN)'s NPI?
Yes. HOLLY JEANNE FULLBRIGHT (APRN) is listed with NPI 1568916740 in the public NPI dataset.
Can I rely on HOLLY JEANNE FULLBRIGHT (APRN) being an active provider?
As of the registry snapshot, HOLLY JEANNE FULLBRIGHT (APRN) is marked active.
What healthcare role does HOLLY JEANNE FULLBRIGHT (APRN) hold?
Scheduling teams often label HOLLY JEANNE FULLBRIGHT (APRN) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect HOLLY JEANNE FULLBRIGHT (APRN) on a map?
Expect Tulsa, Oklahoma as a primary anchor for HOLLY JEANNE FULLBRIGHT (APRN) unless the record lists multiple sites.
Is the information about HOLLY JEANNE FULLBRIGHT (APRN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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