JARED RUSSEL FULLER DO
NPI 1669649117
Anesthesiology in Apo, AA

Active since May 14, 2008PECOS EnrolledAccepts Medicare Assignment
82.45/100
CMS Quality Rating
4700 NORTH LAS VEGAS BLVD, APO, AA 89191(702) 653-3553 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jared Russel Fuller Do NPPES

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

JARED RUSSEL FULLER DO (NPI 1669649117) is an individual anesthesiology provider in Apo, AA, licensed in Nevada (DO1717) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1669649117
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJARED RUSSEL FULLERCredential: DO
Location Address4700 NORTH LAS VEGAS BLVDApo, AA 89191
Mailing Address7435 Dumbarton Oaks StLas Vegas, NV 89166-5227
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 14, 2008
Last NPPES UpdateFebruary 13, 2013
NPI 1669649117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in NV · DO1717
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
4700 NORTH LAS VEGAS BLVD, Apo, AA 89191

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

Jared Russel Fuller Do 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 ID4183869258
PECOS Enrollment IDI20161103002003
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.

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.08
Promoting Interoperability100
Improvement Activities40
Cost54.76

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.

Family Medicine
4700 NORTH LAS VEGAS BLVD
LAS VEGAS, NV 89191
Pharmacist
4700 NORTH LAS VEGAS BLVD, MIKE O'CALLAHAN HOSPITAL
NELLIS, NV 89191
Dental Assistant
4700 NORTH LAS VEGAS BLVD
NELLIS AFB, NV 89191

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 Jared Fuller's NPI number?

The NPI number for Jared Fuller is 1669649117. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Jared Fuller located?

Jared Fuller practices at 4700 North Las Vegas Blvd, Apo, AA 89191. The listed phone number is (702) 653-3553.

What is Jared Fuller's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jared Fuller enrolled in Medicare?

Yes. Jared 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.

Is Jared Fuller affiliated with any hospitals?

According to CMS data, Jared Fuller is affiliated with San Juan Regional Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Jared Fuller was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.