MS. MICHELLE ANNE FULLMER
NPI 1407343411
Nurse Practitioner - Acute Care in Columbus, OH

Active since April 16, 2018PECOS Enrolled
460 W 10TH AVE, COLUMBUS, OH 43210(614) 293-3196(614) 293-4812 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 7, 2025, Jul 19, 2018, Apr 16, 2018 (3 updates tracked since 2018).

About Ms. Michelle Anne Fullmer NPPES

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

MS. MICHELLE ANNE FULLMER (NPI 1407343411) is an individual acute care provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.02037) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407343411
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. MICHELLE ANNE FULLMER
Location Address460 W 10TH AVEColumbus, OH 43210
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-3196
Fax(614) 293-4812
Sole ProprietorNo
Enumeration DateApril 16, 2018
Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
NPI 1407343411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in OH · APRN.CNP.02037
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 326109 (OH)
460 W 10TH AVE, Columbus, OH 43210

Accepted Insurance

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. Michelle Anne Fullmer 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 43210 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$23.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant (Medical)
460 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Internal Medicine (Hematology & Oncology)
460 W 10TH AVE
COLUMBUS, OH 43210
Registered Nurse (Oncology)
460 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
460 W 10TH AVE, JAMES C150
COLUMBUS, OH 43210
Pharmacist (Oncology)
460 W 10TH AVE, DEPARTMENT OF PHARMACY, ROOM C150
COLUMBUS, OH 43210
Nurse Practitioner (Acute Care)
460 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner (Acute Care)
460 W 10TH AVE
COLUMBUS, OH 43210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407343411, enumerated as an "individual" on April 16, 2018.

The provider is located at 460 W 10TH AVE COLUMBUS, OH 43210 and the phone number is (614) 293-3196.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.