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

Kimberley Ann Fulton, PA

Individual provider Physician Assistant · NPI 1043218126

Kimberley Ann Fulton, PA is a Physician Assistant in Grand Haven, Michigan. Qualified in 1998, 28 years ago. Practices with Mercy Physician Network, a 110-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
28
Licensed in
MI
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1445 Sheldon Rd Ste 300
Grand Haven, MI 49417-2479
Phone: (616) 296-1500
Fax: (616) 296-1502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601002936 (MI)

Record details

NPI number1043218126
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 12, 2005
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Mercy Physician Network — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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