MS. SHAUNE I FULLER-GONZALEZ FNP-C - NPI 1386127744 - Nurse Practitioner in Griffin, GA

Q: What is Shaune Fuller-gonzalez's NPI number?

The NPI number for Shaune Fuller-gonzalez is 1386127744. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Q: What is Shaune Fuller-gonzalez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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About Ms. Shaune I Fuller-gonzalez Fnp-c NPPES

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

MS. SHAUNE I FULLER-GONZALEZ FNP-C (NPI 1386127744) is an individual family provider in Griffin, Georgia, licensed in Georgia (RN106395) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386127744

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. SHAUNE I FULLER-GONZALEZCredential: FNP-C

Location Address822 S HILL STGriffin, GA 30224-4842

Mailing Address822 S Hill StGriffin, GA 30224-4842 · (770) 228-1181

Phone(770) 228-1181

Sole ProprietorNo

Enumeration DateSeptember 12, 2018

Last NPPES UpdateJanuary 25, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2023

✔ NPI 1386127744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in GA · RN106395✔ Licensed in GA · 106395

822 S HILL ST, Griffin, GA 30224

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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)

Ms. Shaune I Fuller-gonzalez Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NGOC-MAI NGUYEN FNP-C

Nurse Practitioner (Family)