DR. JERYL GLYNN FULLEN M.D.
NPI 1275631020
Orthopaedic Surgery in Logansport, IN
About Dr. Jeryl Glynn Fullen M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JERYL GLYNN FULLEN M.D. (NPI 1275631020) is an individual orthopaedic surgery provider in Logansport, Indiana, licensed in Indiana (01063517A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeryl Glynn Fullen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46947 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOGANSPORT, IN 46947
LOGANSPORT, IN 46947
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 Jeryl Fullen's NPI number?
The NPI number for Jeryl Fullen is 1275631020. It was assigned to this individual provider in the NPPES registry on September 20, 2006.
Where is Jeryl Fullen located?
Jeryl Fullen practices at 1101 Michigan Ave, Logansport, IN 46947. The listed phone number is (574) 753-1729.
What is Jeryl Fullen's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Jeryl Fullen enrolled in Medicare?
Yes. Jeryl Fullen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jeryl Fullen was last updated on January 16, 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.