Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chelyn Crapo Fullmer

Individual provider Advanced Practice Midwife · NPI 1740656453

Chelyn Crapo Fullmer is a Certified Nurse Midwife (CNM) in Salt Lake City, Utah. Qualified in 2015, 11 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Licensed in
UT
In the registry since
2015

Practice location Address checks out

5373 W Lake Park Blvd
Salt Lake City, UT 84120-8208
Phone: (801) 902-7960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 8005666-4402 (UT)

Record details

NPI number1740656453
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2015
Last updated in NPPESMarch 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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