Shannon Fultz, NP
NPI 1023601069ActiveIndividual· Nurse Practitioner· Providence, RI
Nurse Practitioner (NP) in Providence, Rhode Island, licensed in RI, with an NPI issued in February 2021. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1023601069 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Feb 19, 2021 |
| Last updated in NPPES | Jul 29, 2026 |
| Certified by provider | Jul 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN02454 | RI |
| Nurse Practitioner, Acute Care | 363LA2100X | APRN02454 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (RI) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other nurse practitioners in Providence
- 1003463316
- 1013960582
- 1023488145
- 1083335301
- 1083905673
- 1194223164
- 1255838447
- 1295389161
- 1326796277
- 1386284768
- 1407962434
- 1437826203
All 181 nurse practitioners in Providence · All nurse practitioners in Rhode Island