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NATHANAEL KEITH FULLER PA
NPI 1144583451
Physician Assistant - Medical in Manning, IA

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment
1550 6TH STREET, MANNING, IA 51455(712) 655-2072(712) 655-3228 Get Directions Write a Review

NPPES record last updated: June 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathanael Keith Fuller Pa NPPES

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

NATHANAEL KEITH FULLER PA (NPI 1144583451) is an individual medical provider in Manning, Iowa, licensed in Iowa (002297) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1144583451
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameNATHANAEL KEITH FULLERCredential: PA
Location Address1550 6TH STREETManning, IA 51455-1004
Mailing Address1550 6th StManning, IA 51455-1005 · (712) 655-2072 · Fax (712) 655-3228
Phone(712) 655-2072
Fax(712) 655-3228
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 21, 2012
Last NPPES UpdateJune 13, 2014
✔ NPI 1144583451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IA · 002297
1550 6TH STREET, Manning, IA 51455
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Nathanael Keith Fuller Pa 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 ID9234386376
PECOS Enrollment IDI20120824000664
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 8

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.
156 services82 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
126 services69 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
100 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
88 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
29 services20 patients

Other Providers at the Same Location NPPES 3

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

PHILIP L MYER D.O.
Family Medicine
1550 6TH STREET
MANNING, IA 51455
Carroll County (712) 655-2072
DOUGLAS G MCLAWS DO
Family Medicine
1550 6TH STREET
MANNING, IA 51455
Carroll County (712) 655-2072
NANCY L DANNER P.A.-C.
Physician Assistant (Medical)
1550 6TH STREET
MANNING, IA 51455
Carroll County (712) 655-2072

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 Nathanael Fuller's NPI number?

The NPI number for Nathanael Fuller is 1144583451. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Nathanael Fuller located?

Nathanael Fuller practices at 1550 6th Street, Manning, IA 51455. The listed phone number is (712) 655-2072.

What is Nathanael Fuller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nathanael Fuller enrolled in Medicare?

Yes. Nathanael 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.

What insurance does Nathanael Fuller accept?

Health plans from Medica list Nathanael 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 Nathanael Fuller was last updated on June 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.