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: October 25, 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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

4

Medicare enrollment records show Cecil Fuller reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
80 NEWNAN STATION DR, SUITE A
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 729 clinicians in this Medicare group
Anesthesiology
1015 MEDICAL CENTER PKWY
Selma, AL 36701
  • Reassigned Medicare billing, Alabama enrollment
  • 12 clinicians in this Medicare group
Anesthesiology
2105 EAST SOUTH BLVD
Montgomery, AL 36116
  • Reassigned Medicare billing, Alabama and Georgia enrollments
  • 214 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
100 FRIST CT
Columbus, GA 31909
  • Reassigned Medicare billing, Alabama enrollment
  • 128 clinicians in this Medicare group

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

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
MADISON, TN 37115
Registered Nurse
315 HOSPITAL DR
MADISON, TN 37115
Registered Nurse (Critical Care Medicine)
315 HOSPITAL DR
MADISON, TN 37115
Registered Nurse (Critical Care Medicine)
315 HOSPITAL DR
MADISON, TN 37115
Registered Nurse (Critical Care Medicine)
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 (Critical Care Medicine)
315 HOSPITAL DR
MADISON, TN 37115

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 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.

Where is Cecil Fuller located?

Cecil Fuller practices at 315 Hospital Dr, Madison, TN 37115. The listed phone number is (615) 868-6503.

What is Cecil Fuller's specialty?

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

Is Cecil Fuller enrolled in Medicare?

Yes. Cecil Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Cecil Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cecil Fuller reassigns Medicare benefits to 4 organizations: Sentry Anesthesia Management, LLC (Newnan, GA), Vaughan Regional Anesthesia LLC (Selma, AL), Premier Anesthesia Of Montgomery PC (Montgomery, AL) and Amsol Anesthetists Of Georgia, LLC (Columbus, GA). Each 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 Cecil Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cecil Fuller accept?

Health plans from Blue Cross and Blue Shield of Alabama list Cecil Fuller 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 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 12 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.