NATHANIEL J FULLERTON (MD) – Internal Medicine Physician, NPI 1366417461

NATHANIEL J FULLERTON (MD) is a healthcare provider. based in Fort atkinson, Wisconsin. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 38510-20 (WI). The NPI Number for NATHANIEL J FULLERTON (MD) is 1366417461

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL J FULLERTON (MD)
NPI
1366417461
Phone
(920) 568-5411
Address
PO BOX 249
Enumeration Date
22 February 2006
Last Update Date
11 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
4142425468
Graduation Year
1995 (31 years ago)
PAC ID
8729054226
Group Practice PAC ID
8123448784
Professional Enrollment ID
I20040907000694
Address ID
WI537151415MA801XXPLXX300
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

2,941 INTERNAL MEDICINE in WI

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Provider Addresses for NATHANIEL J FULLERTON (MD)

  • PO BOX 249

    FORT ATKINSON, WI 535380249

    Phone: (920) 568-5411

    Fax: (920) 568-4004

    Type: Mailing

  • Fort Atkinson Memorial Hospital, 611, Sherman Avenue East, Fort Atkinson, Jefferson County, Wisconsin, 53538, United States

    FORT ATKINSON, WI 535381960

    Phone: (920) 568-5411

    Fax: (920) 568-4004

    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: 2004-09-07

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
I20040907000694IInternal MedicineWITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes195112$0
99239Hospital discharge day management, more than 30 minutes146137$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5240$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4343$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 53538)

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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: 8123448784View full group profile
NameSpecialtyState
Internal MedicineMO
Family PracticeWI
Nurse PractitionerWI
Internal MedicineWI
Nurse PractitionerTN
Nurse PractitionerMO
Internal MedicineTN
Family PracticeSC
Nurse PractitionerWI
Nurse PractitionerWI

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Frequently asked questions

What is the registry number for NATHANIEL J FULLERTON (MD)?
The registry entry for NATHANIEL J FULLERTON (MD) shows NPI 1366417461.
Should I treat NATHANIEL J FULLERTON (MD) as an active provider?
Patients and plans typically see NATHANIEL J FULLERTON (MD) as active in the national extract.
What type of care does NATHANIEL J FULLERTON (MD) provide?
NATHANIEL J FULLERTON (MD)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is NATHANIEL J FULLERTON (MD) tied to Fort Atkinson, Wisconsin?
If you are local to Fort Atkinson, Wisconsin, NATHANIEL J FULLERTON (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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