Melissa J Fuller, APRN, AGCNS-BC is a medicare enrolled "Clinical Nurse Specialist" in Boulder, Colorado. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Boulder Community Health and her current practice location is
4747 Arapahoe Ave, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 415-7000.
Melissa J Fuller is licensed to practice in Colorado (license number APN.10000013-CNS) 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 1871371146.
Provider's Profile
| Full Name | Melissa J Fuller |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 4747 Arapahoe Ave, Boulder, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Melissa J Fuller graduated from nursing school in 2024
NPI Data:
- NPI Number: 1871371146
- Provider Enumeration Date: 09/18/2023
- Last Update Date: 11/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294261079
- Enrollment ID: I20241204002688
Medical Identifiers
Medical identifiers for Melissa J Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871371146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WC1600X | Registered Nurse - Continuing Education/staff Development | RN.0186597 (Colorado) | Secondary |
| 364S00000X | Clinical Nurse Specialist | APN.10000013-CNS (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Boulder Community Health | 6800707233 | 253 |
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. Melissa J Fuller allows following entities to bill medicare on her behalf.
| Entity Name | Boulder Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821074196
PECOS PAC ID: 6800707233
Enrollment ID: O20040123000284 |
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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. Melissa J 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 |
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Melissa J Fuller, APRN, AGCNS-BC
4079 Longhorn Dr,
Lafayette, CO 80026-9634
Ph: (303) 524-4507 | Melissa J Fuller, APRN, AGCNS-BC
4747 Arapahoe Ave,
Boulder, CO 80303-1131
Ph: (303) 415-7000 |
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