KAYLA LEANN FULLER (MSN, APRN, FNP-BC) – Family Nurse Practitioner, NPI 1033790159

KAYLA LEANN FULLER (MSN, APRN, FNP-BC) is a healthcare provider. based in Bernie, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-BC. They hold a License No. 2020018079 (MO). The NPI Number for KAYLA LEANN FULLER (MSN, APRN, FNP-BC) is 1033790159

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KAYLA LEANN FULLER (MSN, APRN, FNP-BC)
NPI
1033790159
Phone
(573) 281-9637
Address
1054 STATE HIGHWAY 25
Enumeration Date
20 April 2021
Last Update Date
22 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5732763884
Graduation Year
2020 (6 years ago)
PAC ID
6305241100
Group Practice PAC ID
5698773539
Professional Enrollment ID
I20210817002045
Address ID
MO638631351MA1207XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for KAYLA LEANN FULLER (MSN, APRN, FNP-BC)

  • 1054 STATE HIGHWAY 25

    BERNIE, MO 638227215

    Phone: (573) 281-9637

    Type: Mailing

  • 2400 LUCY LEE PKWY STE C

    POPLAR BLUFF, MO 639012427

    Phone: (573) 872-4675

    Type: Location

  • 1207 N DOUGLASS ST

    MALDEN, MO 638631351

    Phone: (573) 276-3884

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,056.

Total Amount is formed as General ($1,056) + Research ($0) + Ownership ($0) = $1,056.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($264).

Total Amount

$1,056

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,056

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2021-08-17

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
I20210817002045INurse PractitionerMOTBD

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 minutes295104$0
99214Established patient office or other outpatient visit, 30-39 minutes3918$0
36415Insertion of needle into vein for collection of blood sample3832$0
View full utilization report →

Insurance plans in this area (ZIP 63822)

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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: 5698773539View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
P O D I A T R YMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerAR
Nurse PractitionerMO
Physician AssistantMO

Reviews

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Frequently asked questions

What identifier follows KAYLA LEANN FULLER (MSN, APRN, FNP-BC) across health systems?
The NPI 1033790159 uniquely identifies KAYLA LEANN FULLER (MSN, APRN, FNP-BC) in U.S. healthcare data.
Is KAYLA LEANN FULLER (MSN, APRN, FNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists KAYLA LEANN FULLER (MSN, APRN, FNP-BC) as active.
Which specialty label fits KAYLA LEANN FULLER (MSN, APRN, FNP-BC)?
NPPES ties KAYLA LEANN FULLER (MSN, APRN, FNP-BC) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KAYLA LEANN FULLER (MSN, APRN, FNP-BC)?
KAYLA LEANN FULLER (MSN, APRN, FNP-BC) shows a connection to Bernie, Missouri in registry-derived data.
Can I export KAYLA LEANN FULLER (MSN, APRN, FNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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