Justin Scott Fulkerson, ACNP-BC, CRNA - Medicare Nurse Practitioner in Plantation, FL

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Justin Scott Fulkerson, ACNP-BC, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Plantation, Florida. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Clinical Colleagues Inc, Tip Top Anesthesia Group Inc, Waukegan Clinic Corp and his current practice location is 6766 W Sunrise Blvd Ste 100, Plantation, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 583-8472.

Justin Scott Fulkerson is licensed to practice in Illinois (license number 209009025) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1144500018.

Contact Information

Justin Scott Fulkerson, ACNP-BC, CRNA
6766 W Sunrise Blvd Ste 100,
Plantation, FL 33313-6072
(954) 583-8472
Not Available

Map and Direction




Provider's Profile

Full NameJustin Scott Fulkerson
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location6766 W Sunrise Blvd Ste 100, Plantation, Florida
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin Scott Fulkerson graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1144500018
  • Provider Enumeration Date: 08/24/2011
  • Last Update Date: 09/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8426215906
  • Enrollment ID: I20120210000807

Medical Identifiers

Medical identifiers for Justin Scott Fulkerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144500018NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209-009025 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 209009025 (Illinois)Primary
363LA2100XNurse Practitioner - Acute Care 18087 (South Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered 11018636 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vista Medical Center EastWaukegan, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clinical Colleagues Inc8729011333148
Tip Top Anesthesia Group Inc094142987252
Waukegan Clinic Corp428463108658

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. Justin Scott Fulkerson allows following entities to bill medicare on his behalf.
Entity NameWindy City Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932248622
PECOS PAC ID: 9234033572
Enrollment ID: O20031120000022
Entity NameUniversity Anesthesiologists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073558136
PECOS PAC ID: 4183512080
Enrollment ID: O20040415000513
Entity NameClinical Colleagues Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316399967
PECOS PAC ID: 8729011333
Enrollment ID: O20161006000618

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. Justin Scott Fulkerson 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
Justin Scott Fulkerson, ACNP-BC, CRNA
1997 Ne 15th Ave,
Wilton Manors, FL 33305-3262

Ph: (803) 730-2778		Justin Scott Fulkerson, ACNP-BC, CRNA
6766 W Sunrise Blvd Ste 100,
Plantation, FL 33313-6072

Ph: (954) 583-8472

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Plantation, FL

Amanda Lackaye, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322
Phone: 954-939-5409    
Yeisirenia Padron Rodriguez,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322
Phone: 800-437-2672    
Andrene Reid, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 Nw 42nd Ave, Plantation, FL 33317
Phone: 954-260-8293    
Mrs. Catherine Keyo, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322
Phone: 954-939-5577    
Aloune Diana Chariot,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322
Phone: 800-437-2672    
Leiza Lee Norat Santiago,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322
Phone: 954-303-5508    
Jamie Simonson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 8201 W Broward Blvd, Plantation, FL 33324
Phone: 954-473-6600    

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.