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

Q: What is Cecil Fuller's NPI number?

The NPI number for Cecil Fuller is 1093478414. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Q: What is Cecil Fuller's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Cecil Fuller was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

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: August 23, 2026.

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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

Phone(615) 868-6503

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

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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 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.

CARSON STAFFORD

Nurse Anesthetist, Certified Registered