Nicole Middleton Fuller, NP-C in Monroe, LA - Medicare Nurse Practitioner

Nicole Middleton Fuller, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Monroe, Louisiana. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Affinity Health Group, Llc, St Francis Medical Group Llc and her current practice location is 2516 Broadmoor Blvd, Monroe, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 322-1161.

Nicole Middleton Fuller is licensed to practice in Louisiana (license number AP04408) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083742993.

Contact Information

	Nicole Middleton Fuller, NP-C
	2516 Broadmoor Blvd, Monroe, LA 71201-2988
	(318) 322-1161
	(318) 322-9313

Map and Direction

Provider's Profile

Full Name	Nicole Middleton Fuller
Gender	Female
Speciality	Nurse Practitioner
Experience	21 Years
Location	2516 Broadmoor Blvd, Monroe, Louisiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Middleton Fuller graduated from nursing school in 2003

NPI Data:

NPI Number: 1083742993
Provider Enumeration Date: 03/01/2007
Last Update Date: 12/29/2023

Medicare PECOS Information:

PECOS PAC ID: 1052391422
Enrollment ID: I20040726000172

Medical Identifiers

Medical identifiers for Nicole Middleton Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083742993	NPI	-	NPPES
P00625589	Other	LA	RR MEDICARE
1473286	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP04408 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Monroe Surgical Hospital	Monroe, LA	Hospital
St Francis Medical Center	Monroe, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Affinity Health Group, Llc	9335226547	87
St Francis Medical Group Llc	5092970624	122

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Middleton Fuller allows following entities to bill medicare on her behalf.

Entity Name	Affinity Health Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088

Entity Name	St Francis Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134405087 PECOS PAC ID: 5092970624 Enrollment ID: O20120706000094

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Middleton Fuller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Middleton Fuller, NP-C 130 Desiard St Ste 355, Monroe, LA 71201-7363 Ph: (318) 807-7875	Nicole Middleton Fuller, NP-C 2516 Broadmoor Blvd, Monroe, LA 71201-2988 Ph: (318) 322-1161

Reviews and Comments

Nurse Practitioner Nurses in Monroe, LA

Brenda Thomason, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3510 Magnolia Cv, Monroe, LA 71203 Phone: 318-323-1100 Fax: 318-323-1161
Nayana Shrestha, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St Ste 411, Monroe, LA 71201 Phone: 318-966-6622 Fax: 318-966-6621
Mr. Nicholas Colton Fisher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Grammont St., Monroe, LA 71201 Phone: 318-325-2634 Fax: 318-812-1205
Miss Kandice Nicole Hunter, APRN, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000
Mrs. Ellen Stewart Murray, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 Kilpatrick Blvd, Monroe, LA 71201 Phone: 318-855-6282 Fax: 318-855-6424
Miss Matilda Elliott Stephens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Medical Park Dr Ste B, Monroe, LA 71203 Phone: 318-387-6803 Fax: 318-387-6874
Donna L Courson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Layton Ave Ste 20, Monroe, LA 71201 Phone: 318-323-6405 Fax: 318-410-8290

Nicole Middleton Fuller, NP-C - Medicare Nurse Practitioner in Monroe, LA