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

Kelsey Lynn Fullerton, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1518621093

Kelsey Lynn Fullerton, AGACNP is a Nurse Practitioner in Saginaw, Michigan. Qualified in 2021, 5 years ago. Practices with Mymichigan Medical Center Midland, a 509-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
5
Licensed in
IN, MI
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

5570 State St
Saginaw, MI 48603-3583
Phone: (989) 583-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (317) 962-0582

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704344689 (MI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 2021086004 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 71012272A (IN)

Record details

NPI number1518621093
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedOctober 29, 2021
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mymichigan Medical Center Midland — 509 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saginaw