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TIANNA JEAN FULLER FNP, MSN
NPI 1013802305
Nurse Practitioner - Family in South Jordan, UT

Active since June 09, 2025PECOS Enrolled
9898 S GLASGOW DR, SOUTH JORDAN, UT 84009(208) 409-5273 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Tianna Jean Fuller Fnp, Msn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIANNA JEAN FULLER FNP, MSN (NPI 1013802305) is an individual family provider in South Jordan, Utah, licensed in Utah (9666776-8900) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013802305
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIANNA JEAN FULLERCredential: FNP, MSN
Location Address9898 S GLASGOW DRSouth Jordan, UT 84009-9113
Mailing Address9898 S Glasgow DrSouth Jordan, UT 84009-9113 · (208) 409-5273
Phone(208) 409-5273
Sole ProprietorYes
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
✔ NPI 1013802305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 9666776-8900
9898 S GLASGOW DR, South Jordan, UT 84009
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tianna Jean Fuller Fnp, Msn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tianna Fuller's NPI number?

The NPI number for Tianna Fuller is 1013802305. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Tianna Fuller located?

Tianna Fuller practices at 9898 S Glasgow Dr, South Jordan, UT 84009. The listed phone number is (208) 409-5273.

What is Tianna Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tianna Fuller enrolled in Medicare?

Yes. Tianna Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tianna Fuller was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.