Gary Fulkerson, P.A.
NPI 1730165176 · Physician Assistant · Prescott Valley, AZ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gary Fulkerson, P.A. is a Physician Assistant provider in Prescott Valley, AZ (NPI 1730165176).
Provider details
- NPI number
- 1730165176
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 103161-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-19
- Last updated
- 2019-03-27
Frequently asked questions
- What is Gary Fulkerson's NPI number?
- Gary Fulkerson's National Provider Identifier (NPI) is 1730165176, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Fulkerson's specialty?
- Gary Fulkerson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Gary Fulkerson located?
- Gary Fulkerson's practice location on file with NPPES is 3001 N Main St Ste 1c, Prescott Valley, AZ 86314-1215.
- What is Gary Fulkerson's phone number?
- The practice phone number listed in the NPPES registry for Gary Fulkerson is (928) 458-5470.
- Does Gary Fulkerson accept Medicare?
- Gary Fulkerson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gary Fulkerson's NPI active?
- Yes — Gary Fulkerson's NPI (1730165176) is active in the NPPES registry as of the last update on 2019-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.