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

Ellie Fulgham

Individual provider Family Nurse Practitioner · NPI 1891474896

Ellie Fulgham is a Nurse Practitioner in Benton, Kentucky. Qualified in 2022, 4 years ago. Practices with Pineville Community Health Center Inc, a 39-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2023
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Practice location Address checks out

2607 Main St
Benton, KY 42025-7601
Phone: (731) 394-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4001423 (KY)

Record details

NPI number1891474896
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 17, 2023
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023
Mailing address4229 Us Highway 68 W, Benton, KY 42025-6636

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pineville Community Health Center Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Benton