ANGELIA FULLER ARNP
NPI 1366866204
Nurse Practitioner - Family in St Augustine, FL
About Angelia Fuller Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELIA FULLER ARNP (NPI 1366866204) is an individual family provider in St Augustine, Florida, licensed in Florida (ARNP9170137) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
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
Angelia Fuller Arnp 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
4Medicare enrollment records show Angelia Fuller reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Augustine, FL 32084
- Reassigned Medicare billing, Florida enrollment
- 9 clinicians in this Medicare group
Jacksonville, FL 32256
- Reassigned Medicare billing, Florida enrollment
- 98 clinicians in this Medicare group
Daytona Beach, FL 32114
- Reassigned Medicare billing, Florida enrollment
- 23 clinicians in this Medicare group
Deland, FL 32720
- Reassigned Medicare billing, Florida enrollment
- 14 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32084 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST AUGUSTINE, FL 32084
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 Angelia Fuller's NPI number?
The NPI number for Angelia Fuller is 1366866204. It was assigned to this individual provider in the NPPES registry on February 12, 2014.
Where is Angelia Fuller located?
Angelia Fuller practices at 1750 Tree Blvd Ste 5, St Augustine, FL 32084. The listed phone number is (904) 342-0672.
What is Angelia Fuller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Angelia Fuller enrolled in Medicare?
Yes. Angelia 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 Angelia Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angelia Fuller reassigns Medicare benefits to 4 organizations: Panacea Alliance Corp. (St Augustine, FL), Monogram Health Professional Services Of Florida LLC (Jacksonville, FL), Mobile Visiting Practitioners, LLC (Daytona Beach, FL) and West Volusia Family And Sports Medicine Inc (Deland, FL). 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 Angelia 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 Angelia Fuller was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Angelia Fuller, ARNP · NPI 1366866204
Family physician in St Augustine, Florida. Individual provider, active in the CMS NPPES registry since February 12, 2014.
## Identity
- **NPI:** 1366866204 (Entity type: Individual)
- **Enumerated:** February 12, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** ARNP9170137 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1750 TREE BLVD STE 5, St Augustine, FL 32084-5719
- **Phone:** (904) 342-0672
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Panacea Alliance Corp. (NPI 1326298803, St Augustine, FL); Monogram Health Professional Services Of Florida LLC (NPI 1538883111, Jacksonville, FL); Mobile Visiting Practitioners, LLC (NPI 1265915359, Daytona Beach, FL); West Volusia Family And Sports Medicine Inc (NPI 1548584600, Deland, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** March 27, 2023
- **Other identifiers:** Medicaid 102979000 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1366866204) · Data from the CMS NPPES public registry.