Eli Jacob Fulfer, - Medicare Nurse Practitioner in Springdale, AR

  1. Home
  2. Nurse Practitioner
  3. AR
  4. Springdale
Eli Jacob Fulfer, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Springdale, Arkansas. His current practice location is 609 W Maple Ave, Springdale, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 530-9754.

Eli Jacob Fulfer is licensed to practice in Arkansas (license number 213657) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629848098.

Contact Information

Eli Jacob Fulfer,
609 W Maple Ave,
Springdale, AR 72764-5335
(479) 530-9754
Not Available

Map and Direction




Provider's Profile

Full NameEli Jacob Fulfer
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location609 W Maple Ave, Springdale, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629848098
  • Provider Enumeration Date: 01/05/2024
  • Last Update Date: 06/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2365973526
  • Enrollment ID: I20240930002131

Medical Identifiers

Medical identifiers for Eli Jacob Fulfer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629848098NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 213657 (Arkansas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 213657 (Arkansas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Eli Jacob Fulfer allows following entities to bill medicare on his behalf.
Entity NameNorthwest Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194768721
PECOS PAC ID: 0244213213
Enrollment ID: O20040610000882
Entity NameHolden Psychiatric Institute Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205001088
PECOS PAC ID: 9234114349
Enrollment ID: O20040622001640

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eli Jacob Fulfer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eli Jacob Fulfer,
3109 S 28th Pl Apt 1,
Rogers, AR 72758-4720

Ph: (479) 530-9754		Eli Jacob Fulfer,
609 W Maple Ave,
Springdale, AR 72764-5335

Ph: (479) 530-9754

Reviews and Comments


Nurse Practitioner Nurses in Springdale, AR

Scarlett Vanessa Grandy, CNM, WHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 614 E Emma Ave Ste 300, Springdale, AR 72764
Phone: 479-751-7417    
Scott Grigg, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4301 Greathouse Springs Rd, Springdale, AR 72762
Phone: 479-684-3132    Fax: 479-684-3098
Andrew Long, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 609 W Maple Ave, Springdale, AR 72764
Phone: 479-751-5711    
Kaylee M Armendariz, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2878 Powell St, Springdale, AR 72764
Phone: 479-872-3045    Fax: 479-419-5947
James Robert Feher, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4077 Elm Springs Rd Ste 105, Springdale, AR 72762
Phone: 479-927-2100    
Kelsey Breanne Gay, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2988 W Huntsville Ave Ste C, Springdale, AR 72762
Phone: 479-250-4849    
Stephanie Burks, FNP-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 210 S Thompson St Ste 4a, Springdale, AR 72764
Phone: 479-445-9900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.