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

Katelyn O Fulkerson, FNP

Individual provider Registered Nurse · NPI 1497342075

Katelyn O Fulkerson, FNP is a Nurse Practitioner in Newburgh, Indiana. Qualified in 2020, 6 years ago. Practices with Deaconess Clinic Inc, a 409-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone: (812) 853-5300
Fax: (812) 858-4660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71010802A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28229841A (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 71010802A (IN)

Record details

NPI number1497342075
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 29, 2020
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Deaconess Clinic Inc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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