Fulcrum Clinic LLC
NPI 1124512322ActiveOrganization· Nurse Practitioner, Family· Oklahoma City, OK
Nurse Practitioner, Family in Oklahoma City, Oklahoma, registered in NPPES in June 2018. The authorized official on file is Sonya Diane Fergeson, Office Manager And Co-Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124512322 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2018 |
| Last updated in NPPES | Dec 7, 2021 |
| Certified by provider | Dec 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 72566 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
Other Nurse Practitioner, Family providers in Oklahoma City
- 1164039632
- 1285484253
- 1679879472
- 1861895385
- 1568368330
- 1881412161
- 1275407553
- 1922136480
- 1649991449
- 1144556952
- 1730493156
- 1912461161