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

Eli Jacob Fulfer

Individual provider Registered Nurse · NPI 1629848098

Eli Jacob Fulfer is a Nurse Practitioner in Springdale, Arkansas. Qualified in 2024, 2 years ago. Practices with Reding and Leach MD PLLC, a 62-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

609 W Maple Ave
Springdale, AR 72764-5335
Phone: (479) 530-9754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 213657 (AR)
Registered Nurse Taxonomy 163W00000X · Licence 213657 (AR)

Record details

NPI number1629848098
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 5, 2024
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Reding And Leach Md Pllc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springdale