CARISSA SHARNETTA FULLER AGACNP
NPI 1407070501
Nurse Practitioner - Adult Health in Greenville, NC
About Carissa Sharnetta Fuller Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARISSA SHARNETTA FULLER AGACNP (NPI 1407070501) is an individual adult health provider in Greenville, North Carolina, licensed in North Carolina (5023608) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
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
Carissa Sharnetta Fuller Agacnp 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
5Medicare enrollment records show Carissa Fuller reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 1,653 clinicians in this Medicare group
Glen Mills, PA 19342
- Reassigned Medicare billing, Pennsylvania enrollment
- 654 clinicians in this Medicare group
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1477658599 (Pennsylvania), NPI 1568579266 (Pennsylvania), NPI 1497767495 (Pennsylvania)
- 364 clinicians in this Medicare group
Philadelphia, PA 19121
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,991 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ecu Health Medical Center
Acute Care Hospitals · Greenville, NCMain Line Hospital Lankenau
Acute Care Hospitals · Wynnewood, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27834 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENVILLE, NC 27834
GREENVILLE, NC 27834
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 Carissa Fuller's NPI number?
The NPI number for Carissa Fuller is 1407070501. It was assigned to this individual provider in the NPPES registry on April 12, 2007.
Where is Carissa Fuller located?
Carissa Fuller practices at 524 Moye Blvd, Greenville, NC 27834. The listed phone number is (252) 847-0868.
What is Carissa Fuller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Carissa Fuller enrolled in Medicare?
Yes. Carissa 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 Carissa Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Fuller reassigns Medicare benefits to 5 organizations: Vidant Medical Group LLC (Greenville, NC), Prospect Health Access Network, Inc. (Glen Mills, PA), Main Line Healthcare (Newtown Square, PA), University Of Penn - Medical Group (Philadelphia, PA) and Temple Faculty Practice Plan Inc (Philadelphia, PA). 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 Carissa Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Carissa Fuller affiliated with any hospitals?
According to CMS data, Carissa Fuller is affiliated with Ecu Health Medical Center and Main Line Hospital Lankenau.
When was this NPI record last updated?
The NPPES record for Carissa Fuller was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.
# Carissa Sharnetta Fuller, AGACNP · NPI 1407070501
Adult Health physician in Greenville, North Carolina. Individual provider, active in the CMS NPPES registry since April 12, 2007.
## Identity
- **NPI:** 1407070501 (Entity type: Individual)
- **Enumerated:** April 12, 2007
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 5023608 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 524 MOYE BLVD, Greenville, NC 27834-2848
- **Phone:** (252) 847-0868
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Vidant Medical Group LLC (NPI 1477648731, Greenville, NC); Prospect Health Access Network, Inc. (NPI 1083061006, Glen Mills, PA); Main Line Healthcare (NPI 1922077643, Newtown Square, PA); University Of Penn - Medical Group (NPI 1093725145, Philadelphia, PA); Temple Faculty Practice Plan Inc (NPI 1487136495, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** October 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407070501) · Data from the CMS NPPES public registry.