JUSTIN FULLER (CRNP) – Family Nurse Practitioner, NPI 1013565613

Family Nurse Practitioner

JUSTIN FULLER (CRNP) is a healthcare provider. based in Pell city, Alabama. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. 1-131835 (AL). The NPI Number for JUSTIN FULLER (CRNP) is 1013565613

Main info

Male

7 Years Of Experience

Accepts Medicare Assignment

Name

JUSTIN FULLER (CRNP)

NPI

1013565613

Phone

(205) 814-9284

Address

70 PLAZA DR

Enumeration Date

28 August 2019

Last Update Date

28 August 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2058149284

Graduation Year

2019 (7 years ago)

PAC ID

6204268139

Group Practice PAC ID

0749270197

Professional Enrollment ID

I20191114003586

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience26

Completeness75

Years active:6State licenses:1Digital endpointsOther names

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Provider Addresses for JUSTIN FULLER (CRNP)

Plaza Drive, Park Hill, Pell City, St. Clair County, Alabama, 35125, United States
PELL CITY, AL 351259314
Phone: (205) 814-9284
Fax: (205) 814-9626
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35125)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0749270197View full group profile