CARMELLA L FULLENWIDER AG-PCNP-BC
NPI 1598508640
Nurse Practitioner - Primary Care in Redmond, OR

Active since June 17, 2024PECOS EnrolledAccepts Medicare Assignment
645 NW 4TH ST, REDMOND, OR 97756(541) 389-7741 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 28, 2024, Jun 17, 2024 (2 updates tracked since 2024).

About Carmella L Fullenwider Ag-pcnp-bc NPPES

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

CARMELLA L FULLENWIDER AG-PCNP-BC (NPI 1598508640) is an individual primary care provider in Redmond, Oregon, licensed in Oregon (10027848) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1598508640
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCARMELLA L FULLENWIDERCredential: AG-PCNP-BC
Location Address645 NW 4TH STRedmond, OR 97756-1502
Mailing AddressPo Box 1517Pendleton, OR 97801-0410 · (541) 278-4332 · Fax (541) 278-8349
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 17, 2024
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
NPI 1598508640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in OR · 10027848
645 NW 4TH ST, Redmond, OR 97756

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

Carmella L Fullenwider Ag-pcnp-bc 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 ID2668903972
PECOS Enrollment IDI20240926004154
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 4

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 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.
71 services54 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
30 services30 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.
26 services22 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Bay Area Hospital

Acute Care Hospitals · Coos Bay, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

Sacred Heart Medical Center - Riverbend

Acute Care Hospitals · Springfield, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380102
Location3333 Riverbend DriveSpringfield, OR 97477 · Lane County
Emergency services Birthing friendly

Coquille Valley Hospital

Critical Access Hospitals · Coquille, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381312
Location940 East 5th StreetCoquille, OR 97423 · Coos County
Emergency services

St Charles Medical Center Prineville

Critical Access Hospitals · Prineville, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381313
Location384 SE Combs Flat RoadPrineville, OR 97754 · Crook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97756 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 10

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

Family Medicine
645 NW 4TH ST
REDMOND, OR 97756
Family Medicine
645 NW 4TH ST
REDMOND, OR 97756
Clinical Medical Laboratory
645 NW 4TH ST, SUITE B
REDMOND, OR 97756
Nurse Practitioner (Family)
645 NW 4TH ST
REDMOND, OR 97756
Clinical Medical Laboratory
645 NW 4TH ST
REDMOND, OR 97756
Family Medicine
645 NW 4TH ST
REDMOND, OR 97756
Nurse Practitioner (Family)
645 NW 4TH ST
REDMOND, OR 97756
Social Worker (Clinical)
645 NW 4TH ST
REDMOND, OR 97756

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 Carmella Fullenwider's NPI number?

The NPI number for Carmella Fullenwider is 1598508640. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Carmella Fullenwider located?

Carmella Fullenwider practices at 645 NW 4th St, Redmond, OR 97756. The listed phone number is (541) 389-7741.

What is Carmella Fullenwider's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Carmella Fullenwider enrolled in Medicare?

Yes. Carmella Fullenwider 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 Carmella Fullenwider accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Carmella Fullenwider 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 Carmella Fullenwider affiliated with any hospitals?

According to CMS data, Carmella Fullenwider is affiliated with St Charles Medical Center - Bend, Bay Area Hospital, Sacred Heart Medical Center - Riverbend, Coquille Valley Hospital and St Charles Medical Center Prineville.

When was this NPI record last updated?

The NPPES record for Carmella Fullenwider was last updated on June 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.