TERESA FULLEN (FNP-C) – Family Nurse Practitioner, NPI 1578880647

TERESA FULLEN (FNP-C) is a healthcare provider. based in Saltville, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 0001138223 (VA). The NPI Number for TERESA FULLEN (FNP-C) is 1578880647

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
TERESA FULLEN (FNP-C)
NPI
1578880647
Phone
(276) 496-4492
Address
PO BOX 729
Enumeration Date
28 April 2010
Last Update Date
22 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2767838185
Graduation Year
2009 (17 years ago)
PAC ID
5991838476
Group Practice PAC ID
1254387475
Professional Enrollment ID
I20100804000677
Address ID
VA243543157MA216XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for TERESA FULLEN (FNP-C)

  • PO BOX 729

    SALTVILLE, VA 243700729

    Phone: (276) 496-4492

    Fax: (276) 496-4839

    Type: Mailing

  • 216 HOSPITAL AVE

    MARION, VA 243543157

    Phone: (276) 783-8185

    Fax: (276) 783-5030

    Type: Location

  • 308 W Main St

    Saltville, VA 243703112

    Phone: (276) 496-4433

    Fax: (276) 496-5923

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $435.

Total Amount is formed as General ($435) + Research ($0) + Ownership ($0) = $435.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($162).

Total Amount

$435

General + Research + Ownership

Payments

17

Total payment records

General Amount

$435

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2010-08-04

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
I20100804000677INurse PractitionerVATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2918$0
View full utilization report →

Insurance plans in this area (ZIP 24370)

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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: 1254387475View full group profile
NameSpecialtyState
Nurse PractitionerVA
Mental Health CounselorVA
Mental Health CounselorVA
Nurse PractitionerTN
-VA
Mental Health CounselorVA
Clinical Social WorkerVA
Nurse PractitionerVA
Clinical Social WorkerVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

What federal number belongs to TERESA FULLEN (FNP-C)?
The federal identifier for TERESA FULLEN (FNP-C) is NPI 1578880647.
Is TERESA FULLEN (FNP-C) currently active in the NPI registry?
CMS-published data lists TERESA FULLEN (FNP-C) as an active registrant.
Does TERESA FULLEN (FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for TERESA FULLEN (FNP-C). Clinical services aligned with this taxonomy classification.
Does TERESA FULLEN (FNP-C) practice in Virginia?
You will see Saltville, Virginia on file for TERESA FULLEN (FNP-C) alongside any extra practice locations.
Is TERESA FULLEN (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1578880647. Always confirm identity and privileges with the practice and licensing boards.

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