Angelia Fuller, ARNP - Medicare Nurse Practitioner in St Augustine, FL

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Angelia Fuller, ARNP is a medicare enrolled "Nurse Practitioner - Family" in St Augustine, Florida. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Panacea Alliance Corp and her current practice location is 1750 Tree Blvd Ste 5, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 342-0672.

Angelia Fuller is licensed to practice in Florida (license number ARNP9170137) 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 1366866204.

Contact Information

Angelia Fuller, ARNP
1750 Tree Blvd Ste 5,
St Augustine, FL 32084-5719
(904) 342-0672
Not Available

Map and Direction




Provider's Profile

Full NameAngelia Fuller
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location1750 Tree Blvd Ste 5, St Augustine, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Angelia Fuller graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1366866204
  • Provider Enumeration Date: 02/12/2014
  • Last Update Date: 03/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517182785
  • Enrollment ID: I20140701001463

Medical Identifiers

Medical identifiers for Angelia Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366866204NPI-NPPES
102979000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family ARNP9170137 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Panacea Alliance Corp60029742354

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. Angelia Fuller allows following entities to bill medicare on her behalf.
Entity NameNortheast Florida Health Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992792311
PECOS PAC ID: 0547249518
Enrollment ID: O20040819000233
Entity NamePanacea Alliance Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326298803
PECOS PAC ID: 6002974235
Enrollment ID: O20081016000487
Entity NameMobile Visiting Practitioners, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265915359
PECOS PAC ID: 7810239100
Enrollment ID: O20190507002879

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. Angelia 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 AddressPractice Location Address
Angelia Fuller, ARNP
1750 Tree Blvd Ste 5,
St Augustine, FL 32084-5719

Ph: (904) 342-0672		Angelia Fuller, ARNP
1750 Tree Blvd Ste 5,
St Augustine, FL 32084-5719

Ph: (904) 342-0672

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.