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MRS. KATHLEEN MARIE FULLER NP
NPI 1689638371
Nurse Practitioner - Obstetrics & Gynecology in Quincy, MA

Active since April 12, 2006PECOS Enrolled
300 CONGRESS ST, SUITE 102, QUINCY, MA 02169(617) 479-6636(617) 376-0435 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2016, Mar 30, 2016 (2 updates tracked since 2016).

About Mrs. Kathleen Marie Fuller Np NPPES

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

MRS. KATHLEEN MARIE FULLER NP (NPI 1689638371) is an individual obstetrics & gynecology provider in Quincy, Massachusetts, licensed in Massachusetts (RN2297885) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689638371
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameMRS. KATHLEEN MARIE FULLERCredential: NP
Location Address300 CONGRESS ST, SUITE 102Quincy, MA 02169-0907
Mailing Address300 Congress St, Suite 102Quincy, MA 02169-0907 · (617) 471-1161 · Fax (617) 376-0435
Phone(617) 479-6636
Fax(617) 376-0435
Sole ProprietorNo
Enumeration DateApril 12, 2006
Last NPPES UpdateNovember 22, 20162 updates tracked since enumeration
✔ NPI 1689638371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in MA · RN2297885
300 CONGRESS ST, Quincy, MA 02169
Open in Google Maps ↗

Other Identifiers 1

OtherRN2297885MA · Nurse Practitioner License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathleen Marie Fuller Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02169 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

TERESA ROGERS AGACNP-BC
Nurse Practitioner
300 CONGRESS ST
QUINCY, MA 02169
Norfolk County (774) 319-1355
STEPHEN GREGORY WERTH M.D.
Dermatology
300 CONGRESS ST, SUITE 408
QUINCY, MA 02169
Norfolk County (617) 773-7431
MRS. REBECCA P FOLEY MSPT
Physical Therapist (Orthopedic)
300 CONGRESS ST, SUITE 202
QUINCY, MA 02169
Norfolk County (617) 471-7333
UNITED DIAGNOSTICS
Clinic/Center (Sleep Disorder Diagnostic)
300 CONGRESS ST, SUITE 206
QUINCY, MA 02169
Norfolk County (866) 711-1299
HELEN REGO MOREIRA M.D.
Ophthalmology
300 CONGRESS ST, SUITE 200
QUINCY, MA 02169
Norfolk County (617) 471-5665
RICHARD MAZZAFERRO DO PC
Physical Medicine & Rehabilitation
300 CONGRESS ST, SUITE 304
QUINCY, MA 02169
Norfolk County (617) 773-6300
MYUNG NICHOLSON
Massage Therapist
300 CONGRESS ST
QUINCY, MA 02169
Norfolk County (617) 770-4048
MR. STEVEN A NIELSEN MD
Ophthalmology
300 CONGRESS ST, SUITE 201
QUINCY, MA 02169
Norfolk County (617) 471-5665

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 Kathleen Fuller's NPI number?

The NPI number for Kathleen Fuller is 1689638371. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Kathleen Fuller located?

Kathleen Fuller practices at 300 Congress St Suite 102, Quincy, MA 02169. The listed phone number is (617) 479-6636.

What is Kathleen Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Kathleen Fuller enrolled in Medicare?

Yes. Kathleen Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Fuller was last updated on November 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.