MRS. MARIA TERESA CERVANTES-FULLMER FNP
NPI 1477020303
Internal Medicine - Hematology & Oncology in Idaho Falls, ID

Active since October 29, 2018PECOS EnrolledAccepts Medicare Assignment
3245 CHANNING WAY, IDAHO FALLS, ID 83404(208) 227-2790(208) 227-2735 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2020, Jan 22, 2019, Oct 29, 2018 (3 updates tracked since 2018).

About Mrs. Maria Teresa Cervantes-fullmer Fnp NPPES

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

MRS. MARIA TERESA CERVANTES-FULLMER FNP (NPI 1477020303) is an individual hematology & oncology provider in Idaho Falls, Idaho, licensed in Idaho (46717) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477020303
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameMRS. MARIA TERESA CERVANTES-FULLMERCredential: FNP
Location Address3245 CHANNING WAYIdaho Falls, ID 83404-7536
Mailing AddressPo Box 741716Atlanta, GA 30374-1716
Fax(208) 227-2735
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 29, 2018
Last NPPES UpdateJanuary 30, 20203 updates tracked since enumeration
NPI 1477020303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in ID · 46717
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3245 CHANNING WAY, Idaho Falls, ID 83404

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 and accepts Medicare assignment

Mrs. Maria Teresa Cervantes-fullmer Fnp 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 ID8628319506
PECOS Enrollment IDI20190402000812
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
273 services118 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
254 services169 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
170 services115 patients

Hospital Affiliations CMS Care Compare 5

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Idaho Falls Community Hospital, LLC

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130074
Location2327 Coronado StIdaho Falls, ID 83404 · Bonneville County
Emergency services

Lost Rivers Medical Center

Critical Access Hospitals · Arco, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131324
Location551 Highland DriveArco, ID 83213 · Butte County
Emergency services

Star Valley Medical Center

Critical Access Hospitals · Afton, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531313
Location901 Adams StreetAfton, WY 83110 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3245 CHANNING WAY
IDAHO FALLS, ID 83404
Nurse Practitioner (Family)
3245 CHANNING WAY
IDAHO FALLS, ID 83404
Radiology (Radiation Oncology)
3245 CHANNING WAY
IDAHO FALLS, ID 83404

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 Maria Cervantes-fullmer's NPI number?

The NPI number for Maria Cervantes-fullmer is 1477020303. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Where is Maria Cervantes-fullmer located?

Maria Cervantes-fullmer practices at 3245 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 227-2790.

What is Maria Cervantes-fullmer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Maria Cervantes-fullmer enrolled in Medicare?

Yes. Maria Cervantes-fullmer 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.

What insurance does Maria Cervantes-fullmer accept?

Health plans from Moda Health Plan, Inc., Select Health and University of Utah Health Plans list Maria Cervantes-fullmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Maria Cervantes-fullmer affiliated with any hospitals?

According to CMS data, Maria Cervantes-fullmer is affiliated with Eastern Idaho Regional Medical Center, Mountain View Hospital, Idaho Falls Community Hospital, LLC, Lost Rivers Medical Center and Star Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Maria Cervantes-fullmer was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.