BONNIE NALL FULLER APRN
NPI 1215512611
Nurse Practitioner - Family in Yalaha, FL
About Bonnie Nall Fuller Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONNIE NALL FULLER APRN (NPI 1215512611) is an individual family provider in Yalaha, Florida, licensed in Florida (APRN11012161) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Bonnie Nall Fuller Aprn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Bonnie Fuller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lady Lake, FL 32159
- Reassigned Medicare billing, Florida enrollment
- 7 clinicians in this Medicare group
Nashville, TN 37203
- Reassigned Medicare billing, Florida enrollment
- 12 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34797 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Bonnie Fuller's NPI number?
The NPI number for Bonnie Fuller is 1215512611. It was assigned to this individual provider in the NPPES registry on March 17, 2021.
Where is Bonnie Fuller located?
Bonnie Fuller practices at 16 Lakeshore Dr, Yalaha, FL 34797. The listed phone number is (850) 960-6038.
What is Bonnie Fuller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bonnie Fuller enrolled in Medicare?
Yes. Bonnie 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 Bonnie Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Fuller reassigns Medicare benefits to 2 organizations: Pulse Medical Doctors LLC (Lady Lake, FL) and Concertocare Medical Group Of Tennessee, PC (Nashville, TN). 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 Bonnie Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bonnie Fuller was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bonnie Nall Fuller, APRN · NPI 1215512611
Family physician in Yalaha, Florida. Individual provider, active in the CMS NPPES registry since March 17, 2021.
## Identity
- **NPI:** 1215512611 (Entity type: Individual)
- **Enumerated:** March 17, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11012161 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 16 LAKESHORE DR, Yalaha, FL 34797-3032
- **Phone:** (850) 960-6038
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pulse Medical Doctors LLC (NPI 1033649868, Lady Lake, FL); Concertocare Medical Group Of Tennessee, PC (NPI 1780423863, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 25, 2024
- **Other identifiers:** Other APRN11012161 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1215512611) · Data from the CMS NPPES public registry.