MARY N. FULLER (APRN) – Family Nurse Practitioner, NPI 1245775428
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
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Provider Addresses for MARY N. FULLER (APRN)
PO BOX 990
DANVILLE, KY 404230990
Phone: (859) 239-2360
Type: Mailing
Daniel Drive, Danville, Boyle County, Kentucky, 40422, United States
DANVILLE, KY 40422
Phone: (859) 236-3361
Type: Location
PO BOX 776351
CHICAGO, IL 606776351
Phone: (502) 559-9423
Fax: (502) 272-5339
Type: Mailing
1075 E Lexington Ave
Danville, KY 404221766
Phone: (859) 712-2041
Fax: (502) 839-3806
Type: Location
106 W JOHN ROWAN BLVD STE E
BARDSTOWN, KY 400042636
Phone: (502) 350-4799
Fax: (502) 350-4798
Type: Location
PO BOX 195
SALVISA, KY 403720195
Phone: (502) 839-3805
Fax: (502) 839-3806
Type: Mailing
1064 N COLLEGE ST
HARRODSBURG, KY 403302208
Phone: (859) 734-3057
Fax: (502) 839-3806
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-01-27
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 |
|---|---|---|---|---|
| I20170127002513 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 124 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 52 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 55 | 29 | $0 |
| 81003 | Automated urinalysis test | 33 | 20 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 23 | 23 | $0 |
Insurance plans in this area (ZIP 40423)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
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