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

Penny Fulks, MSN, APRN, NP-C

Individual provider Family Nurse Practitioner · NPI 1770997728

Penny Fulks, MSN, APRN, NP-C is a Nurse Practitioner in Columbia, Missouri. Qualified in 2014, 12 years ago. Practices with Advanced Senior Care of Missouri Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2014
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

910 N College Ave Ste 4
Columbia, MO 65201-4797
Phone: (636) 642-1215
Fax: (573) 234-4799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2014018654 (MO)

Record details

NPI number1770997728
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , APRN , NP-C
Sole proprietorNo
NPI enumeratedJune 18, 2014
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Advanced Senior Care Of Missouri Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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