Kelly Fuller, APRN in Rockledge, FL - Medicare Nurse Practitioner

Kelly Fuller, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rockledge, Florida. Her current practice location is 1007 Pathfinder Way Ste 120, Rockledge, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 507-4033.

Kelly Fuller is licensed to practice in Florida (license number APRN11000259) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144793407.

Contact Information

	Kelly Fuller, APRN
	1007 Pathfinder Way Ste 120, Rockledge, FL 32955-3243
	(321) 507-4033
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Fuller
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1007 Pathfinder Way Ste 120, Rockledge, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144793407
Provider Enumeration Date: 01/09/2019
Last Update Date: 01/02/2025

Medicare PECOS Information:

PECOS PAC ID: 7113264482
Enrollment ID: I20190124000600

Medical Identifiers

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

Identifier	Type	State	Issuer
1144793407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11000259 (Florida)	Primary

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. Kelly Fuller allows following entities to bill medicare on her behalf.

Entity Name	Circles Of Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215345954 PECOS PAC ID: 8729069380 Enrollment ID: O20040528000379

Entity Name	Clear As A Bell Psychiatric Providers, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053191056 PECOS PAC ID: 8729436464 Enrollment ID: O20231120000125

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. Kelly 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
Kelly Fuller, APRN 1007 Pathfinder Way Ste 120, Rockledge, FL 32955-3243 Ph: (321) 507-4033	Kelly Fuller, APRN 1007 Pathfinder Way Ste 120, Rockledge, FL 32955-3243 Ph: (321) 507-4033

Reviews and Comments

Nurse Practitioner Nurses in Rockledge, FL

Wieslaw Faliszewski, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1770 Cedar St, Rockledge, FL 32955 Phone: 321-890-1500
Ms. Christy Lynne Powell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Barton Blvd Unit C14, Rockledge, FL 32955 Phone: 321-241-6800 Fax: 321-241-6890
Alison Wolff Singer, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Barton Blvd Unit C-14, Rockledge, FL 32955 Phone: 321-639-5177
Eryn Preston, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 S Woods Dr, Rockledge, FL 32955 Phone: 321-636-3066 Fax: 321-636-2545
Mary Elizabeth Nave, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Longwood Ave, Rockledge, FL 32955 Phone: 321-632-6963 Fax: 321-632-6983
Richard Arthur Bernard Jr., ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Longwood Ave, Rockledge, FL 32955 Phone: 321-632-6963 Fax: 321-632-6983
Michael D. Griffin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Sloan Ct, Rockledge, FL 32955 Phone: 321-200-0471

Kelly Fuller, APRN - Medicare Nurse Practitioner in Rockledge, FL