KELLY FULLER (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1144793407

KELLY FULLER (APRN) is a healthcare provider. based in Melbourne, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11000259 (FL). The NPI Number for KELLY FULLER (APRN) is 1144793407

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KELLY FULLER (APRN)
NPI
1144793407
Phone
(321) 952-6000
Address
2020 COMMERCE DR
Enumeration Date
9 January 2019
Last Update Date
2 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3215074033
Graduation Year
2018 (8 years ago)
PAC ID
7113264482
Group Practice PAC ID
8729436464
Professional Enrollment ID
I20190124000600
Address ID
FL329553243RO1007XWAYX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for KELLY FULLER (APRN)

  • Commerce Drive, Melbourne, Brevard County, Florida, 32910, United States

    MELBOURNE, FL 329042335

    Phone: (321) 952-6000

    Type: Location

  • Circles of Care, 400, East Sheridan Road, Melbourne, Brevard County, Florida, 32901, United States

    MELBOURNE, FL 32901

    Phone: (321) 722-5200

    Type: Mailing

  • 1007 PATHFINDER WAY STE 120

    ROCKLEDGE, FL 329553243

    Phone: (321) 507-4033

    Type: Mailing

  • 2355 TRUMAN SCARBOROUGH WAY

    TITUSVILLE, FL 327961310

    Phone: (321) 603-6550

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $225.

Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABIOMED ($110).

Total Amount

$225

General + Research + Ownership

Payments

4

Total payment records

General Amount

$225

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-01-24

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
I20190124000600INurse PractitionerFLTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7614$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3723$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2516$0
99238Hospital discharge day management, 30 minutes or less1411$0
View full utilization report →

Insurance plans in this area (ZIP 32904)

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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: 8729436464View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find KELLY FULLER (APRN)'s NPI?
You can confirm KELLY FULLER (APRN) with NPI 1144793407; it appears in the national provider directory.
Is KELLY FULLER (APRN) currently active in the NPI registry?
CMS-published data lists KELLY FULLER (APRN) as an active registrant.
Does KELLY FULLER (APRN) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for KELLY FULLER (APRN). Clinical services aligned with this taxonomy classification.
What location shows for KELLY FULLER (APRN)?
We surface Melbourne, Florida for KELLY FULLER (APRN) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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