MRS. ELIZABETH W FULLER – Family Nurse Practitioner, NPI 1922177237

MRS. ELIZABETH W FULLER is a healthcare provider. based in Tuscaloosa, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-046393 (AL). The NPI Number for MRS. ELIZABETH W FULLER is 1922177237

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ELIZABETH W FULLER
NPI
1922177237
Phone
(205) 348-1770
Address
850 PETER BRYCE BLVD
Enumeration Date
8 November 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053733945
Graduation Year
1995 (31 years ago)
PAC ID
8426156704
Group Practice PAC ID
3274904750
Professional Enrollment ID
I20070611000269
Address ID
AL354422200AL108XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for MRS. ELIZABETH W FULLER

  • Peter Bryce Boulevard, Riverview, Tuscaloosa, Tuscaloosa County, Alabama, 35487, United States

    TUSCALOOSA, AL 354017419

    Phone: (205) 348-1770

    Fax: (205) 348-2593

    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)

CMS reports 31 Open Payments records for all available years, with a total value of $473.

Total Amount is formed as General ($473) + Research ($0) + Ownership ($0) = $473.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Lilly USA, LLC ($144).

Total Amount

$473

General + Research + Ownership

Payments

31

Total payment records

General Amount

$473

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2007-06-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070611000269INurse PractitionerALTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes20397$0
99214Established patient office or other outpatient visit, 30-39 minutes2117$0
G0008Administration of influenza virus vaccine1414$0
View full utilization report →

Insurance plans in this area (ZIP 35401)

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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: 3274904750View full group profile
NameSpecialtyState
Nurse PractitionerAL
Emergency Medicine, Internal MedicineAL
Nurse PractitionerMD

Reviews

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Frequently asked questions

Does MRS. ELIZABETH W FULLER have a public NPI I can cite?
Public records show MRS. ELIZABETH W FULLER under NPI 1922177237.
Is MRS. ELIZABETH W FULLER currently accepting referrals based on NPI status?
Registry metadata lists MRS. ELIZABETH W FULLER as active.
What services align with MRS. ELIZABETH W FULLER's listing?
MRS. ELIZABETH W FULLER's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. ELIZABETH W FULLER tied to Tuscaloosa, Alabama?
If you are local to Tuscaloosa, Alabama, MRS. ELIZABETH W FULLER may be relevant to your search.
Who maintains MRS. ELIZABETH W FULLER's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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