MS. CHERYL A FULLER (APN) – Family Nurse Practitioner, NPI 1376851410

MS. CHERYL A FULLER (APN) is a healthcare provider. based in Dongola, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209008363 (IL). The NPI Number for MS. CHERYL A FULLER (APN) is 1376851410

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHERYL A FULLER (APN)
NPI
1376851410
Phone
(618) 827-3545
Address
PO BOX 277
Enumeration Date
23 September 2010
Last Update Date
25 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6188273545
Graduation Year
2010 (16 years ago)
PAC ID
6204005135
Group Practice PAC ID
6800705427
Professional Enrollment ID
I20110811000176
Address ID
IL629261103DO318XXNXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MS. CHERYL A FULLER (APN)

  • PO BOX 277

    DONGOLA, IL 629260277

    Phone: (618) 827-3545

    Fax: (618) 827-4891

    Type: Mailing

  • 318 US HIGHWAY 51 N

    DONGOLA, IL 629261103

    Phone: (618) 827-3545

    Fax: (618) 827-4891

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $103.

Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: ABBVIE INC. ($90).

Total Amount

$103

General + Research + Ownership

Payments

6

Total payment records

General Amount

$103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

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: 2011-08-11

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
I20110811000176INurse PractitionerILTBD

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.

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

Insurance plans in this area (ZIP 62926)

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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: 6800705427View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Physician AssistantIL
Family PracticeIL
Family PracticeCO
Clinical Social WorkerIL
Family PracticeIL
Nurse PractitionerIL
Physician AssistantIL
Physician AssistantIL
Family PracticeIL

Reviews

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Frequently asked questions

Can I use this page to confirm MS. CHERYL A FULLER (APN)'s NPI?
Yes. MS. CHERYL A FULLER (APN) is listed with NPI 1376851410 in the public NPI dataset.
Is MS. CHERYL A FULLER (APN) listed as active for patients and plans?
The listing shows MS. CHERYL A FULLER (APN) as active in the NPI system.
What is MS. CHERYL A FULLER (APN)'s specialty?
The listing groups MS. CHERYL A FULLER (APN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MS. CHERYL A FULLER (APN) on a map?
Expect Dongola, Illinois as a primary anchor for MS. CHERYL A FULLER (APN) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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