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CARSON FULLER MD
NPI 1275274755
Student in an Organized Health Care Education/Training Program in Spokane, WA

Active since April 06, 2022PECOS Enrolled
1275 W COLLEGE AVE APT 309, SPOKANE, WA 99201(509) 385-9863 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carson Fuller Md NPPES

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

CARSON FULLER MD (NPI 1275274755) is an individual student in an organized health care education/training program in Spokane, Washington and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275274755
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCARSON FULLERCredential: MD
Location Address1275 W COLLEGE AVE APT 309Spokane, WA 99201-2052
Mailing Address1275 W College Ave Apt 309Spokane, WA 99201-2052
Phone(509) 385-9863
Sole ProprietorYes
Enumeration DateApril 6, 2022
NPPES CertifiedApril 6, 2022
✔ NPI 1275274755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1275 W COLLEGE AVE APT 309, Spokane, WA 99201
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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 (PECOS)

Carson Fuller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Carson Fuller's NPI number?

The NPI number for Carson Fuller is 1275274755. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Carson Fuller located?

Carson Fuller practices at 1275 W College Ave Apt 309, Spokane, WA 99201. The listed phone number is (509) 385-9863.

What is Carson Fuller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carson Fuller enrolled in Medicare?

Yes. Carson Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carson Fuller was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.