MARY ELIZABETH FULLER (FNP-C) – Nurse Practitioner, NPI 1447872692

MARY ELIZABETH FULLER (FNP-C) is a healthcare provider. based in Hurst, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP145920 (TX). The NPI Number for MARY ELIZABETH FULLER (FNP-C) is 1447872692

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELIZABETH FULLER (FNP-C)
NPI
1447872692
Phone
(817) 428-7300
Address
779 GRAPEVINE HWY
Enumeration Date
11 May 2020
Last Update Date
19 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8174287300
Graduation Year
2019 (7 years ago)
PAC ID
2668845959
Group Practice PAC ID
7810237740
Professional Enrollment ID
I20230308000045
Address ID
TX760542805HU779XXHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for MARY ELIZABETH FULLER (FNP-C)

  • 779 GRAPEVINE HWY

    HURST, TX 760542805

    Phone: (817) 428-7300

    Type: Mailing

  • 800 MEDICAL CENTER DR STE C

    DECATUR, TX 762343844

    Phone: (940) 626-2110

    Type: Location

  • 27960 CABOT RD APT 265

    LAGUNA NIGUEL, CA 926771256

    Phone: (817) 919-3619

    Type: Mailing

  • 11942 PARAMOUNT BLVD STE B

    DOWNEY, CA 902422306

    Phone: (562) 923-6060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,045.

Total Amount is formed as General ($1,045) + Research ($0) + Ownership ($0) = $1,045.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Lilly USA, LLC ($223).

Total Amount

$1,045

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,045

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

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: 2023-03-08

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
I20230308000045INurse PractitionerTXTBD

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 minutes9470$0
99212Established patient office or other outpatient visit, 10-19 minutes3126$0
99214Established patient office or other outpatient visit, 30-39 minutes2617$0
96372Injection of drug or substance under skin or into muscle1711$0
View full utilization report →

Insurance plans in this area (ZIP 76054)

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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: 7810237740View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Family PracticeLA
Physician AssistantTX
Family PracticeTX
Nurse PractitionerTX
Family PracticeKY
Physician AssistantMA
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the standard ID for MARY ELIZABETH FULLER (FNP-C) in the U.S.?
In the U.S., MARY ELIZABETH FULLER (FNP-C) is identified by NPI 1447872692.
Is MARY ELIZABETH FULLER (FNP-C)'s NPI status active today?
Active status means MARY ELIZABETH FULLER (FNP-C)'s NPI record is not deactivated in the public file.
How should patients interpret MARY ELIZABETH FULLER (FNP-C)'s specialty?
The extract shows Nurse Practitioner for MARY ELIZABETH FULLER (FNP-C). Clinical services aligned with this taxonomy classification.
Can patients visit MARY ELIZABETH FULLER (FNP-C) in Hurst, Texas?
For routing, start with Hurst, Texas for MARY ELIZABETH FULLER (FNP-C), then verify phone and hours locally.
Who maintains MARY ELIZABETH FULLER (FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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