JOSELYN FULLER FNP-BC
NPI 1629444666
Nurse Practitioner in West Jordan, UT
About Joselyn Fuller Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSELYN FULLER FNP-BC (NPI 1629444666) is an individual nurse practitioner in West Jordan, Utah, licensed in Utah (7327150) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Joselyn Fuller Fnp-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.
Medicare Billing Reassignment
Medicare enrollment records show Joselyn Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84102
- Reassigned Medicare billing, Utah enrollment
- 316 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84088 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Joselyn Fuller's NPI number?
The NPI number for Joselyn Fuller is 1629444666. It was assigned to this individual provider in the NPPES registry on August 13, 2015. The provider is also known as Joselyn Londer Fnp-Bc.
Where is Joselyn Fuller located?
Joselyn Fuller practices at 3580 W 9000 South, West Jordan, UT 84088. The listed phone number is (801) 561-8888.
What is Joselyn Fuller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Joselyn Fuller enrolled in Medicare?
Yes. Joselyn 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 organization bills Medicare for Joselyn Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joselyn Fuller reassigns Medicare benefits to Emergency Physicians Integrated Care, LLC (Salt Lake City, UT). The 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 Joselyn 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 Joselyn Fuller was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Joselyn Fuller, FNP-BC · NPI 1629444666
Nurse Practitioner physician in West Jordan, Utah. Individual provider, active in the CMS NPPES registry since August 13, 2015.
## Identity
- **NPI:** 1629444666 (Entity type: Individual)
- **Enumerated:** August 13, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 7327150 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3580 W 9000 SOUTH, West Jordan, UT 84088-8899
- **Phone:** (801) 561-8888
## 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:** Emergency Physicians Integrated Care, LLC (NPI 1578598199, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 12, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1629444666) · Data from the CMS NPPES public registry.