Nino Fuller, AGACNP-BC - Medicare Nurse Practitioner in Henderson, TX

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Nino Fuller, AGACNP-BC is a medicare enrolled "Nurse Practitioner" in Henderson, Texas. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Stone Fort Inpatient Services Pllc, Etmc Physician Group, Inc. and her current practice location is 300 Wilson St, Henderson, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 655-6536.

Nino Fuller is licensed to practice in Texas (license number AP140425) 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 1962974469.

Contact Information

Nino Fuller, AGACNP-BC
300 Wilson St,
Henderson, TX 75652-5956
(903) 655-6536
Not Available

Map and Direction




Provider's Profile

Full NameNino Fuller
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location300 Wilson St, Henderson, Texas
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:
  • Nino Fuller graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1962974469
  • Provider Enumeration Date: 12/20/2018
  • Last Update Date: 11/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820330038
  • Enrollment ID: I20190508001054

Medical Identifiers

Medical identifiers for Nino Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962974469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 0024180028 (Virginia)Secondary
363LA2100XNurse Practitioner - Acute Care AP140425 (Texas)Secondary
363LA2100XNurse Practitioner - Acute Care GAA-NP000340 (Georgia)Secondary
363LA2100XNurse Practitioner - Acute Care 866207 (Texas)Secondary
363LA2100XNurse Practitioner - Acute Care 0024180028 (Virginia)Secondary
363L00000XNurse Practitioner AP140425 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ut Health East Texas Athens HospitalAthens, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stone Fort Inpatient Services Pllc256774351124
Etmc Physician Group, Inc.4486915600276

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. Nino Fuller allows following entities to bill medicare on her behalf.
Entity NameSouthwest Pulmonary Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174658454
PECOS PAC ID: 6204733165
Enrollment ID: O20040112000154
Entity NameCogent Healthcare Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992722953
PECOS PAC ID: 8628076924
Enrollment ID: O20061121000364
Entity NameSound Inpatient Physicians Of Texas I, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831424563
PECOS PAC ID: 8729133640
Enrollment ID: O20090828000300
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20100317001021
Entity NameStone Fort Inpatient Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316481492
PECOS PAC ID: 2567743511
Enrollment ID: O20170105000860
Entity NameEtmc Physician Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106
Entity NameHospitalist Medicine Physicians Of Texas - Tyler, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861037590
PECOS PAC ID: 4880021211
Enrollment ID: O20200225001897

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. Nino 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
Nino Fuller, AGACNP-BC
300 Wilson St,
Henderson, TX 75652-5956

Ph: (903) 655-6536		Nino Fuller, AGACNP-BC
300 Wilson St,
Henderson, TX 75652-5956

Ph: (903) 655-6536

Reviews and Comments


Nurse Practitioner Nurses in Henderson, TX

Ms. Jennifer S Melendez, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 Zeid Blvd Bldg 2, Henderson, TX 75652
Phone: 903-615-5612    
Mrs. Samantha Bowers Comeaux, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1115 Us Highway 259 S, Henderson, TX 75654
Phone: 903-392-8203    
Mica Ladon Norman, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Wilson St, Henderson, TX 75652
Phone: 903-655-6536    Fax: 903-657-6072
Tad Wayland Titlow, APN-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 North High Street, Henderson, TX 75652
Phone: 903-392-8259    Fax: 903-392-8013
Mrs. Amberly Hopson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1115 U.s. 259, Henderson, TX 75654
Phone: 903-392-8203    
Wendi Amber Wolfe, APRN, WHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1110 S Main St, Henderson, TX 75654
Phone: 903-360-3848    
Ms. Robin Turner Watson, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1115 Us Highway 259 S, Henderson, TX 75654
Phone: 903-392-8203    Fax: 866-835-6516

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.