REBECCA FULLAM NP
NPI 1750396388
Nurse Practitioner in Columbia, SC

Q: What is Rebecca Fullam's NPI number?

The NPI number for Rebecca Fullam is 1750396388. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Q: What is Rebecca Fullam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Fullam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 30, 2006PECOS Enrolled

2001 LAUREL ST, COLUMBIA, SC 29204(803) 254-3278(803) 255-2715 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Rebecca Fullam Np NPPES

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

REBECCA FULLAM NP (NPI 1750396388) is an individual nurse practitioner in Columbia, South Carolina, licensed in South Carolina (APN2647) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750396388

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameREBECCA FULLAMCredential: NP

Location Address2001 LAUREL STColumbia, SC 29204-1018

Mailing Address2001 Laurel StColumbia, SC 29204-1018 · (803) 254-3278 · Fax (803) 255-2715

Phone(803) 254-3278

Fax(803) 255-2715

Sole ProprietorNo

Enumeration DateJuly 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1750396388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SC · APN2647

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2001 LAUREL ST, Columbia, SC 29204

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Other Identifiers 1

Medicare UPINS68887

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Fullam 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 29204 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

BRENDA LIGON MPA-C

Physician Assistant (Medical)