Susan Rutkowski Fuller, NURSE PRACTITIONER in Wake Forest, NC

Susan Rutkowski Fuller, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Wake Forest, North Carolina. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Healthcare Services Inc, Wake Spine And Pain Specialists Pc, Unc Physicians Network Llc and her current practice location is 3635 Rogers Rd, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 787-7246.

Susan Rutkowski Fuller is licensed to practice in North Carolina (license number 5013256) 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 1669090783.

Contact Information

	Susan Rutkowski Fuller, NURSE PRACTITIONER
	3635 Rogers Rd, Wake Forest, NC 27587-7634
	(919) 787-7246
	(919) 787-7247

Map and Direction

Provider's Profile

Full Name	Susan Rutkowski Fuller
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	3635 Rogers Rd, Wake Forest, North Carolina
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:

Susan Rutkowski Fuller graduated from nursing school in 2020

NPI Data:

NPI Number: 1669090783
Provider Enumeration Date: 07/07/2020
Last Update Date: 04/28/2025

Medicare PECOS Information:

PECOS PAC ID: 9537587456
Enrollment ID: I20200909002204

Medical Identifiers

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

Identifier	Type	State	Issuer
1669090783	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5013256 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5013256 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rex Hospital	Raleigh, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Healthcare Services Inc	2163339722	3474
Wake Spine And Pain Specialists Pc	2860543097	26
Unc Physicians Network Llc	5496940546	795

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. Susan Rutkowski Fuller allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699748608 PECOS PAC ID: 6002837572 Enrollment ID: O20051212000719

Entity Name	Unc Physicians Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646

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. Susan Rutkowski 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
Susan Rutkowski Fuller, NURSE PRACTITIONER 3801 Wake Forest Rd Ste 210, Raleigh, NC 27609-6864 Ph: (919) 787-7246	Susan Rutkowski Fuller, NURSE PRACTITIONER 3635 Rogers Rd, Wake Forest, NC 27587-7634 Ph: (919) 787-7246

Reviews and Comments

Nurse Practitioner Nurses in Wake Forest, NC

Rebecca K Dallas, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1655 Wake Drive, Suite 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277
Caroline Wambui Kinge, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2204 Lower Lake Rd, Wake Forest, NC 27587 Phone: 919-630-3475
Deshah Jalen Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 833 Wake Forest Business Park Ste F, Wake Forest, NC 27587 Phone: 919-230-1419
Deborah Hupp, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 245 East Roosevelt Ave, Minuteclinic Diagnostic Of North Carolina, Wake Forest, NC 27587 Phone: 866-389-2727 Fax: 401-652-9787
Cherita Anders, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr Unit 101, Wake Forest, NC 27587 Phone: 195-564-7799 Fax: 919-556-5277
Ms. Christina Theresa Newman, AGPCNP - BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Tackwood Ct, Wake Forest, NC 27587 Phone: 919-757-9194
Gwen Christine Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 S Main St, Wake Forest, NC 27587 Phone: 919-350-0365

Susan Rutkowski Fuller, NURSE PRACTITIONER - Medicare Nurse Practitioner in Wake Forest, NC