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

Jessica L Fultz, NP

Individual provider Family Nurse Practitioner · NPI 1114445897

Jessica L Fultz, NP is a Nurse Practitioner in Springfield, Illinois. Qualified in 2017, 9 years ago. Practices with Lewis Gale Physicians LLC, a 194-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Virginia.

Years since qualifying
9
Licensed in
IL, VA
In the registry since
2017
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

747 N Rutledge St Fl 4
Springfield, IL 62702-6700
Phone: (217) 545-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 Davis St, Blacksburg, VA 24060-7008 — (540) 961-0218

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.035650 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024175078 (VA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 0024175078 (VA)

Record details

NPI number1114445897
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 1, 2017
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lewis Gale Physicians Llc — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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