Shannon Ingram Fulmer

CRNA | Nurse Anesthetist | 25+ years Exp

4420 Lake Boone Trl, Raleigh
  North Carolina, 27607-7505
919-784-3034
Accepts Medicare Nurse Anesthetist in Raleigh, North Carolina.
Shannon Ingram Fulmer is a Raleigh, North Carolina based nurse anesthetist with 25 years of experience as Anesthesia Administration. She completed she graduation in 2000. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shannon Ingram Fulmer is 151514 for Anesthesia Administration in North Carolina. Her current practice location is 4420 Lake Boone Trl, Raleigh. Patients can reach her at 919-784-3034. Shannon Ingram Fulmer is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1073668893.
Shannon Ingram Fulmer is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.

Complete Profile:
Shannon Ingram Fulmer speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Anesthesia Administration
Credentials: CRNA
Experience: 25+ years
Medical School Attended:Other
Graduation Year:2000
Gender:Female
Accepts Medicare Assignment:Yes
Practice Address:4420 Lake Boone Trl, Raleigh,
North Carolina, 27607-7505
Phone:919-784-3034
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 9032240494
Enrollment ID: I20100629000143
NPI Number: 1073668893
NPI Enumeration Date: 24 Jan, 2007
NPI Last Update On: 14 May, 2008

Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Ingram Fulmer are as mentioned below.
License NumberSpecializationStateStatus
151514Anesthesia Administration North CarolinaPrimary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Betsy Johnson Regional Hospital (340071)Dunn, NCAcute Care Hospital
Cape Fear Valley Medical Center (340028)Fayetteville, NCAcute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Shannon Ingram Fulmer has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
American Anesthesiology Of North Carolina Pllc (2961316450)431
Cumberland Anesthesia Associates, P.a. (9739161688)17
Other Medical Identifiers:
Other legacy medical identifiers associated with Shannon Ingram Fulmer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
430058284OtherNorth CarolinaRAILROAD-MEDICARE
8051357MedicaidNorth Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 18139,
Raleigh, North Carolina
Zip: 27619-8139
Phone Number: --
Fax Number: --
Patients can reach Shannon Ingram Fulmer at 4420 Lake Boone Trl, Raleigh, North Carolina or can call to book an appointment on 919-784-3034.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.