CECIL FULLER II CRNA
NPI 1093478414
Registered Nurse in Madison, TN

Active since October 21, 2021Accepts Medicare Assignment
315 HOSPITAL DR, MADISON, TN 37115(615) 868-6503 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cecil Fuller Ii Crna NPPES

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

CECIL FULLER II CRNA (NPI 1093478414) is an individual registered nurse in Madison, Tennessee, licensed in Alabama (1-162112) and active in the NPI registry since October 2021. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1093478414
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameCECIL FULLER IICredential: CRNA
Location Address315 HOSPITAL DRMadison, TN 37115-5030
Mailing Address2024 Crencor DrGoodlettsville, TN 37072-4306
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 21, 2021
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
NPI 1093478414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in AL · 1-162112
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 1-162112 (AL)
315 HOSPITAL DR, Madison, TN 37115

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

Cecil Fuller Ii Crna 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 ID6507305224
PECOS Enrollment IDI20240827000328

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.

Nurse Anesthetist, Certified Registered
315 HOSPITAL DR, MIDDLE TENNESSEE SCHOOL OF ANESTHESIA
MADISON, TN 37115
Nurse Anesthetist, Certified Registered
315 HOSPITAL DR
MADISON, TN 37115
Registered Nurse
315 HOSPITAL DR
MADISON, TN 37115
Registered Nurse (Critical Care Medicine)
315 HOSPITAL DR
MADISON, TN 37115
Registered Nurse
315 HOSPITAL DR
MADISON, TN 37115
Registered Nurse (School)
315 HOSPITAL DR
MADISON, TN 37115
Registered Nurse (Critical Care Medicine)
315 HOSPITAL DR
MADISON, TN 37115
Registered Nurse
315 HOSPITAL DR
MADISON, TN 37115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093478414, enumerated as an "individual" on October 21, 2021.

The provider is located at 315 HOSPITAL DR MADISON, TN 37115 and the phone number is (615) 868-6503.

Registered Nurse with taxonomy code 163W00000X.