TEECEE ANN HAILEY-FULFER (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1093117210
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
596 NURSE PRACTITIONER in WY
Provider Addresses for TEECEE ANN HAILEY-FULFER (APRN, PMHNP-BC)
145 S DURBIN ST STE 108
CASPER, WY 826012566
Phone: (307) 333-5757
Fax: (307) 439-2141
Type: Location
4801 YESNESS CT
CASPER, WY 826045205
Phone: (254) 258-1217
Type: Mailing
770 W COLLINS DR STE 200
CASPER, WY 826012300
Phone: (307) 333-5757
Fax: (307) 215-7879
Type: Location
2417 E 15th St
Casper, WY 826092942
Phone: (307) 234-3638
Fax: (307) 472-2259
Type: Location
PO BOX 1117
CASPER, WY 826021117
Phone: (307) 333-5757
Fax: (307) 439-2141
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 124 Open Payments records for all available years, with a total value of $1,846.
Total Amount is formed as General ($1,846) + Research ($0) + Ownership ($0) = $1,846.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($650).
Total Amount
$1,846
General + Research + Ownership
Payments
124
Total payment records
General Amount
$1,846
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $650 |
| Teva Pharmaceuticals USA, Inc. | $292 |
| Vanda Pharmaceuticals Inc. | $208 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $141 |
| ITI, Inc. | $128 |
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: 2017-11-01
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 |
|---|---|---|---|---|
| I20171101003339 | I | Nurse Practitioner | WY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 204 | 53 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 82 | 33 | $0 |
Insurance plans in this area (ZIP 82601)
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