ALISHA M FULLER FNP
NPI 1083616544
Nurse Practitioner - Family in Middletown, NY

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
81.03/100
CMS Quality Rating
390 CRYSTAL RUN RD, SUITE 102, MIDDLETOWN, NY 10941(845) 692-8780(845) 692-3439 Get Directions Write a Review

NPPES record last updated: October 31, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alisha M Fuller Fnp NPPES

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

ALISHA M FULLER FNP (NPI 1083616544) is an individual family provider in Middletown, New York, licensed in New York (333950) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1083616544
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISHA M FULLERCredential: FNP
Location Address390 CRYSTAL RUN RD, SUITE 102Middletown, NY 10941
Mailing Address390 Crystal Run Rd, Suite 102Middletown, NY 10941 · (845) 692-8780 · Fax (845) 692-3439
Fax(845) 692-3439
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 15, 2005
Last NPPES UpdateOctober 31, 2008
NPI 1083616544 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 NY · 333950
390 CRYSTAL RUN RD, Middletown, NY 10941

Other Identifiers 3

Medicare PIN1425G1NY
Medicare UPINQ59684NY
Medicaid02745279NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alisha M Fuller Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638191950
PECOS Enrollment IDI20060103000289
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
186 services103 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
110 services93 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services42 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services32 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
20 services19 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10941 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.76
Promoting Interoperability82
Improvement Activities40
Cost69.03

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
13%62 patients1/55-star benchmark: 85%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
7%134 patients1/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims15 services$65.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
390 CRYSTAL RUN RD, SUITE 104
MIDDLETOWN, NY 10941
Physical Therapist
390 CRYSTAL RUN RD, SUITE 104
MIDDLETOWN, NY 10941
Specialist
390 CRYSTAL RUN RD, 104
MIDDLETOWN, NY 10941
Dietitian, Registered
390 CRYSTAL RUN RD, SUITE 102
MIDDLETOWN, NY 10941
Specialist
390 CRYSTAL RUN RD, SUITE 104
MIDDLETOWN, NY 10941
Nurse Practitioner (Family)
390 CRYSTAL RUN RD, WALLKILL MEDICAL ARTS BUILDING, SUITE 101
MIDDLETOWN, NY 10941
Physical Therapist
390 CRYSTAL RUN RD, SUITE 104
MIDDLETOWN, NY 10941
Pharmacist
390 CRYSTAL RUN RD
MIDDLETOWN, NY 10941

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083616544, enumerated as an "individual" on August 15, 2005.

The provider is located at 390 CRYSTAL RUN RD SUITE 102 MIDDLETOWN, NY 10941 and the phone number is (845) 692-8780.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Alisha Fuller is affiliated with: GARNET HEALTH MEDICAL CENTER.