VANESSA RENEE FULLER NURSE PRACTITIONER
NPI 1417560194
Nurse Practitioner - Family in Ukiah, CA
About Vanessa Renee Fuller Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VANESSA RENEE FULLER NURSE PRACTITIONER (NPI 1417560194) is an individual family provider in Ukiah, California, licensed in California (95015225) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
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
Vanessa Renee Fuller Nurse Practitioner 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
2Medicare enrollment records show Vanessa Fuller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ukiah, CA 95482
- Reassigned Medicare billing, California enrollment
- 112 clinicians in this Medicare group
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95482 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UKIAH, CA 95482
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 Vanessa Fuller's NPI number?
The NPI number for Vanessa Fuller is 1417560194. It was assigned to this individual provider in the NPPES registry on August 24, 2020.
Where is Vanessa Fuller located?
Vanessa Fuller practices at 275 Hospital Dr, Ukiah, CA 95482. The listed phone number is (707) 462-7900.
What is Vanessa Fuller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Vanessa Fuller enrolled in Medicare?
Yes. Vanessa 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 Vanessa Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Fuller reassigns Medicare benefits to 2 organizations: Pacific Redwood Medical Group Inc (Ukiah, CA) and Permanente Medical Group Inc (Vallejo, CA). 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 Vanessa Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Vanessa Fuller was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Vanessa Renee Fuller, NURSE PRACTITIONER · NPI 1417560194
Family physician in Ukiah, California. Individual provider, active in the CMS NPPES registry since August 24, 2020.
## Identity
- **NPI:** 1417560194 (Entity type: Individual)
- **Enumerated:** August 24, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95015225 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 275 HOSPITAL DR, Ukiah, CA 95482-4531
- **Phone:** (707) 462-7900
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Pacific Redwood Medical Group Inc (NPI 1033103676, Ukiah, CA); Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** July 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1417560194) · Data from the CMS NPPES public registry.