Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Grace Taylor Fulkerson, PA

Individual provider Physician Assistant · NPI 1053120329

Mrs. Grace Taylor Fulkerson, PA is a Physician Assistant in Rogers, Arkansas. Qualified in 2024, 2 years ago. Practices with Washington Regional Medical System, a 240-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2029 S Hampton Pl
Rogers, AR 72758-1352
Phone: (479) 250-0289
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1364 (AR)

Record details

NPI number1053120329
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 2, 2025
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Washington Regional Medical System — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Washington Regional Medical System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 240 clinicians in the practice; 12 are shown here.

Other providers in Rogers