KERIANNE FULLIN MD/MPH
NPI 1467949362
Internal Medicine - Interventional Cardiology in Grand Rapids, MI

Q: What is Kerianne Fullin's NPI number?

The NPI number for Kerianne Fullin is 1467949362. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Q: What is Kerianne Fullin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Kerianne Fullin was last updated on July 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 16, 2018PECOS EnrolledAccepts Medicare Assignment

2900 BRADFORD ST NE, GRAND RAPIDS, MI 49525(616) 885-5000(616) 885-5020 Get Directions Write a Review

NPPES record last updated: July 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2024, May 23, 2021, Apr 16, 2018 (3 updates tracked since 2018).

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About Kerianne Fullin Md/mph NPPES

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

KERIANNE FULLIN MD/MPH (NPI 1467949362) is an individual interventional cardiology provider in Grand Rapids, Michigan, licensed in Michigan (4301511930) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of University Of Wisconsin School Of Medicine (2018).

NPPES Registry Identity

NPI1467949362

Entity TypeIndividualFemale

Primary Taxonomy207RI0011X

Provider Legal NameKERIANNE FULLINCredential: MD/MPH

Location Address2900 BRADFORD ST NEGrand Rapids, MI 49525

Mailing Address2900 Bradford St NeGrand Rapids, MI 49525-6427 · (616) 885-5000 · Fax (616) 885-5020

Phone(616) 885-5000

Fax(616) 885-5020

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2018

Enumeration DateApril 16, 2018

Last NPPES UpdateJuly 14, 20243 updates tracked since enumeration

NPPES CertifiedJuly 14, 2024

✔ NPI 1467949362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in MI · 4301511930

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

2900 BRADFORD ST NE, Grand Rapids, MI 49525

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Kerianne Fullin Md/mph 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 ID5193061059

PECOS Enrollment IDI20250806000858

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.

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number520021

Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $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.

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.

MR. MARK COLTON PA-C

Physician Assistant