NICHOLE LESHAWN FULLER
NPI 1720584899
Nurse Practitioner - Acute Care in Rochester Hills, MI
About Nichole Leshawn Fuller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLE LESHAWN FULLER (NPI 1720584899) is an individual acute care provider in Rochester Hills, Michigan, licensed in Michigan (4704280454) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Nichole Leshawn Fuller 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 Reassignments
3Medicare enrollment records show Nichole Fuller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Troy, MI 48084
- Reassigned Medicare billing, Michigan enrollment
- 279 clinicians in this Medicare group
Detroit, MI 48201
- Reassigned Medicare billing, Michigan enrollment
- 26 clinicians in this Medicare group
Jackson, MS 39201
- Reassigned Medicare billing, Michigan enrollment
- 26 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sinai-Grace Hospital
Acute Care Hospitals · Detroit, MIHarper University Hospital
Acute Care Hospitals · Detroit, MIDetroit Receiving Hospital
Acute Care Hospitals · Detroit, MIKarmanos Cancer Center
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Nichole Fuller's NPI number?
The NPI number for Nichole Fuller is 1720584899. It was assigned to this individual provider in the NPPES registry on April 5, 2018.
Where is Nichole Fuller located?
Nichole Fuller practices at 1428 Leupp Ct, Rochester Hills, MI 48307. The listed phone number is (313) 492-8911.
What is Nichole Fuller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Nichole Fuller enrolled in Medicare?
Yes. Nichole 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 organizations bill Medicare for Nichole Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Fuller reassigns Medicare benefits to 3 organizations: Vpa PC (Troy, MI), Halo Medical Group PLLC (Detroit, MI) and Harmonycares Complete Health Services, PLLC (Jackson, MS). Each 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 Nichole Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nichole Fuller accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Nichole Fuller 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 Nichole Fuller affiliated with any hospitals?
According to CMS data, Nichole Fuller is affiliated with Sinai-Grace Hospital, Harper University Hospital, Detroit Receiving Hospital and Karmanos Cancer Center.
When was this NPI record last updated?
The NPPES record for Nichole Fuller was last updated on April 5, 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.
# Nichole Leshawn Fuller · NPI 1720584899
Acute Care physician in Rochester Hills, Michigan. Individual provider, active in the CMS NPPES registry since April 5, 2018.
## Identity
- **NPI:** 1720584899 (Entity type: Individual)
- **Enumerated:** April 5, 2018
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 4704280454 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1428 LEUPP CT, Rochester Hills, MI 48307-3021
- **Phone:** (313) 492-8911
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Vpa PC (NPI 1336153295, Troy, MI); Halo Medical Group PLLC (NPI 1811214489, Detroit, MI); Harmonycares Complete Health Services, PLLC (NPI 1093543902, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 5, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1720584899) · Data from the CMS NPPES public registry.