FULLER FAMILY MEDICINE, PC
NPI 1063700722
Clinic/Center in Billings, MT

Active since July 15, 2011CLIA 27D2027779 · Microscopy
4045 AVENUE B, BILLINGS, MT 59106(713) 256-1801(832) 413-5904 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fuller Family Medicine, Pc NPPES

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

FULLER FAMILY MEDICINE, PC (NPI 1063700722) is a healthcare organization registered as a clinic/center in Billings, Montana and active in the NPI registry since July 2011. The organization holds a CLIA Microscopy certificate valid through July 31, 2027 and lists Retha H Reeves, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063700722
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFULLER FAMILY MEDICINE, PC
Location Address4045 AVENUE BBillings, MT 59106
Mailing Address4045 Avenue BBillings, MT 59106 · (713) 256-1801 · Fax (832) 413-5904
Fax(832) 413-5904
Organization SubpartNo
Authorized OfficialRetha H ReevesAdministrator · (713) 256-1801
Enumeration DateJuly 15, 2011
Last NPPES UpdateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
✔ NPI 1063700722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedInternal MedicineTaxonomy 207R00000X · License 10392 (MT)
4045 AVENUE B, Billings, MT 59106

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fuller Family Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMontanaEnrollment IDO20111020000613Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Fuller Family Medicine, PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1831329804
2060 OVERLAND AVE STE 1A
Billings, MT 59102
(406) 855-2422
✔ PECOS✔ Accepts Medicare3.4 mi
Internal Medicine
NPI 1083652564
2900 12TH AVE N SUITE 310W
Billings, MT 59101
(406) 238-6900
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1184033722
801 N 29TH ST
Billings, MT 59101
(406) 238-2500
✔ PECOS4.9 mi
Nurse Practitioner
NPI 1568168417
MONTANA STATE UNIVERSITY COLLEGE OF NURSING 1500 UNIVERSITY DRIVE
Billings, MT 59101
(406) 994-3597
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 27D2027779

Fuller Family Medicine · Billings, MT
Active · expires Jul 31, 2027
CLIA Number27D2027779
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorDr. Bradley D. Fuller
Laboratory Phone(406) 651-9355
Laboratory LocationFuller Family Medicine4045 Avenue B, Billings, MT 59106
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Fuller Family Medicine, PC's NPI number?

The NPI number for Fuller Family Medicine, PC is 1063700722. It was assigned to this organization in the NPPES registry on July 15, 2011.

Where is Fuller Family Medicine, PC located?

Fuller Family Medicine, PC is located at 4045 Avenue B, Billings, MT 59106. The listed phone number is (713) 256-1801.

What is Fuller Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Fuller Family Medicine, PC enrolled in Medicare?

Yes. Fuller Family Medicine, PC is registered in the Medicare PECOS enrollment system.

When is Fuller Family Medicine, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Montana, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Fuller Family Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Fuller Family Medicine, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fuller Family Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 27D2027779) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fuller Family Medicine, PC accept?

Health plans from Blue Cross and Blue Shield of Montana list Fuller Family Medicine, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fuller Family Medicine, PC was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.