DESIREE STARR FULLER FNP
NPI 1093423352
Nurse Practitioner - Family in Watertown, NY

Q: What is Desiree Fuller's NPI number?

The NPI number for Desiree Fuller is 1093423352. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Q: What is Desiree Fuller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Desiree Fuller was last updated on November 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 07, 2022PECOS EnrolledAccepts Medicare Assignment

1575 WASHINGTON ST, WATERTOWN, NY 13601(315) 785-4155(315) 779-5066 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Desiree Starr Fuller Fnp NPPES

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

DESIREE STARR FULLER FNP (NPI 1093423352) is an individual family provider in Watertown, New York, licensed in New York (350713) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1093423352

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDESIREE STARR FULLERCredential: FNP

Location Address1575 WASHINGTON STWatertown, NY 13601-9371

Mailing Address1575 Washington StWatertown, NY 13601-9371 · (315) 785-4155 · Fax (315) 779-5066

Phone(315) 785-4155

Fax(315) 779-5066

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 7, 2022

NPPES CertifiedNovember 7, 2022

✔ NPI 1093423352 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 · 350713

1575 WASHINGTON ST, Watertown, NY 13601

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Secondary Practice Location 1

Location 11571 Washington St Ste 107Watertown, NY 13601-9304 · Phone (315) 782-7330 · Fax (315) 782-5773

Other Identifiers 1

Other350713NY · Nysed Op

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Desiree Starr 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 ID4688046691

PECOS Enrollment IDI20230220001904

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 4

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

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

114 services94 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

71 services71 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

21 services21 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330157

Location830 Washington StreetWatertown, NY 13601 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13601 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Other Providers at the Same Location NPPES 20

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

JOSEPH WETTERHAHN M.D.

Family Medicine