DR. AMY FULLER M.D.
NPI 1366898710
Emergency Medicine in Washington, NC
About Dr. Amy Fuller M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMY FULLER M.D. (NPI 1366898710) is an individual emergency medicine provider in Washington, North Carolina, licensed in North Carolina (2020-00792) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Dr. Amy Fuller M.d. 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
3Medicare enrollment records show Amy Fuller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vancouver, WA 98661
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Bristol Bay Area Health Corporation
- 360 clinicians in this Medicare group
Vancouver, WA 98686
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- 2,534 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Texas enrollment
- 1,373 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 4
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 27889 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
WASHINGTON, NC 27889
WASHINGTON, NC 27889
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 Amy Fuller's NPI number?
The NPI number for Amy Fuller is 1366898710. It was assigned to this individual provider in the NPPES registry on May 4, 2016.
Where is Amy Fuller located?
Amy Fuller practices at 628 E 12th St, Washington, NC 27889. The listed phone number is (252) 975-4319.
What is Amy Fuller's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Amy Fuller enrolled in Medicare?
Yes. Amy 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 Amy Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Fuller reassigns Medicare benefits to 3 organizations: Cowlitz Indian Tribe (Vancouver, WA), Manor Care Of Salmon Creek Wa, Association (Vancouver, WA) and Alaska Native Tribal Health Consortium (Anchorage, AK). 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 Amy Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Fuller accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Amy 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 Amy Fuller was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Amy Fuller, M.D. · NPI 1366898710
Emergency Medicine physician in Washington, North Carolina. Individual provider, active in the CMS NPPES registry since May 4, 2016.
## Identity
- **NPI:** 1366898710 (Entity type: Individual)
- **Enumerated:** May 4, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2020-00792 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 628 E 12TH ST, Washington, NC 27889-3409
- **Phone:** (252) 975-4319 · **Fax:** (252) 948-4826
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Cowlitz Indian Tribe (NPI 1538412630, Vancouver, WA); Manor Care Of Salmon Creek Wa, Association (NPI 1609171081, Vancouver, WA); Alaska Native Tribal Health Consortium (NPI 1437189339, Anchorage, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 23, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1366898710) · Data from the CMS NPPES public registry.