JACLYN NICOLE FULLER (CRNP) – Family Nurse Practitioner, NPI 1851668271
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for JACLYN NICOLE FULLER (CRNP)
513 BROOKWOOD BLVD
SUITE 401
BIRMINGHAM, AL 35209
Phone: (205) 870-0256
Fax: (205) 870-7107
Type: Mailing
1010 1ST STREET NORTH
SUITE 112
ALABASTER, AL 35007
Phone: (205) 663-1023
Fax: (205) 870-7107
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 326 Open Payments records for all available years, with a total value of $6,255.
Total Amount is formed as General ($6,255) + Research ($0) + Ownership ($0) = $6,255.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,426).
Total Amount
$6,255
General + Research + Ownership
Payments
326
Total payment records
General Amount
$6,255
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,426 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $983 |
| Ardelyx, Inc. | $388 |
| Janssen Biotech, Inc. | $270 |
| Regeneron Healthcare Solutions, Inc. | $220 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-01-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120110000442 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 153 | 114 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 93 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 63 | 63 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 35209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Nurse Practitioner | AL | |
| - | AL | |
| - | AL | |
| Nurse Practitioner | AL | |
| G A S T R O E N T E R O L O G Y | AL | |
| Nurse Practitioner | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Physician Assistant | AL |
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