LESA FULLER – Nurse Practitioner, NPI 1669136479
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,550 NURSE PRACTITIONER in KS
Provider Addresses for LESA FULLER
9350 E 35TH ST N STE 101
WICHITA, KS 672262022
Phone: (316) 265-1308
Fax: (316) 265-4480
Type: Mailing
3535 N WEBB RD
WICHITA, KS 672268127
Phone: (316) 686-5300
Fax: (316) 651-2660
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $5,041.
Total Amount is formed as General ($5,041) + Research ($0) + Ownership ($0) = $5,041.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Medtronic, Inc. ($4,153).
Total Amount
$5,041
General + Research + Ownership
Payments
57
Total payment records
General Amount
$5,041
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $4,153 |
| E.R. Squibb & Sons, L.L.C. | $204 |
| ABIOMED | $136 |
| Bayer Healthcare Pharmaceuticals Inc. | $132 |
| Novartis Pharmaceuticals Corporation | $131 |
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: 2022-02-02
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 |
|---|---|---|---|---|
| I20220202000338 | I | Nurse Practitioner | KS | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 67226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | KS | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | KS | |
| Nurse Practitioner | KS | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | KS | |
| Cardiovascular Disease (Cardiology) | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Physician Assistant | KS |
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