MR. EDWIN S FULLER CRNA
NPI 1396765475
Nurse Anesthetist, Certified Registered in Hardeeville, SC

Active since July 20, 2006Accepts Medicare Assignment
84.44/100
CMS Quality Rating
1000 MEDICAL CENTER DR, HARDEEVILLE, SC 29927(785) 770-5284 Get Directions Write a Review

NPPES record last updated: October 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Edwin S Fuller Crna NPPES

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

MR. EDWIN S FULLER CRNA (NPI 1396765475) is an individual nurse anesthetist, certified registered in Hardeeville, South Carolina, licensed in Georgia (R105765) and active in the NPI registry since July 2006. He is affiliated with Coastal Carolina Hospital and is a graduate of Other (1990).

NPPES Registry Identity

NPI1396765475
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. EDWIN S FULLERCredential: CRNA
Location Address1000 MEDICAL CENTER DRHardeeville, SC 29927-3446
Mailing Address42 Meridian RdBeaufort, SC 29907-1404 · (785) 770-5284
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 20, 2006
Last NPPES UpdateOctober 12, 2025
NPPES CertifiedOctober 12, 2025
NPI 1396765475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in GA · R105765
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1000 MEDICAL CENTER DR, Hardeeville, SC 29927

Other Identifiers 2

Medicaid00550734CGA
Medicaid000550734EGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Edwin S Fuller Crna 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.

PECOS PAC ID2264425537
PECOS Enrollment IDI20180808003423

Areas of Expertise CMS Part B claims 5

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
38 services38 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
18 services18 patients
Anesthesia for procedure on anus and rectum 00902
Anesthesia for procedures on the anus and rectum ensures comfort during medical procedures. It involves the administration of medication to numb the area or induce sleep, so you don't feel pain or discomfort. This helps doctors perform necessary procedures smoothly and effectively.
17 services17 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
12 services12 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Coastal Carolina Hospital

Acute Care Hospitals · Hardeeville, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420101
Location1000 Medical Center DriveHardeeville, SC 29927 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29927 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

84.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Improvement Activities40
Cost69.53

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.

Neurological Surgery
1000 MEDICAL CENTER DR
HARDEEVILLE, SC 29927
Registered Nurse
1000 MEDICAL CENTER DR
HARDEEVILLE, SC 29927
Hospitalist
1000 MEDICAL CENTER DR
HARDEEVILLE, SC 29927
Emergency Medicine
1000 MEDICAL CENTER DR, 1000 MEDICAL CENTER DR
HARDEEVILLE, SC 29927
Medicare Defined Swing Bed Unit
1000 MEDICAL CENTER DR
HARDEEVILLE, SC 29927
General Acute Care Hospital
1000 MEDICAL CENTER DR
HARDEEVILLE, SC 29927
Internal Medicine
1000 MEDICAL CENTER DR
HARDEEVILLE, SC 29927
Internal Medicine
1000 MEDICAL CENTER DR
HARDEEVILLE, SC 29927

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 Edwin Fuller's NPI number?

The NPI number for Edwin Fuller is 1396765475. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Edwin Fuller located?

Edwin Fuller practices at 1000 Medical Center Dr, Hardeeville, SC 29927. The listed phone number is (785) 770-5284.

What is Edwin Fuller's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Edwin Fuller enrolled in Medicare?

Yes. Edwin 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.

Is Edwin Fuller affiliated with any hospitals?

According to CMS data, Edwin Fuller is affiliated with Coastal Carolina Hospital.

When was this NPI record last updated?

The NPPES record for Edwin Fuller was last updated on October 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.