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MATTHEW GERALD FULLER
NPI 1750946950
Counselor - Mental Health in Nashville, TN

Active since May 03, 2019PECOS EnrolledAccepts Medicare Assignment
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 936-2000 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2024, Nov 9, 2022, Jul 27, 2022 and 2 more (5 updates tracked since 2019).

About Matthew Gerald Fuller NPPES

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

MATTHEW GERALD FULLER (NPI 1750946950) is an individual mental health provider in Nashville, Tennessee, licensed in Tennessee (6062) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Edina, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1750946950
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMATTHEW GERALD FULLER
Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-5428
Mailing Address415 County Road 110 NMound, MN 55364-8338 · (386) 795-9322
Phone(615) 936-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 3, 2019
Last NPPES UpdateJuly 2, 20245 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1750946950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in TN · 6062✔ Licensed in MN · 3369✔ Licensed in FL · IMH18270
3601 THE VANDERBILT CLINIC, Nashville, TN 37232
Open in Google Maps ↗

Secondary Practice Location 1

Location 17101 York Ave S Ste 357Edina, MN 55435-4428 · Phone (970) 926-6340 · Fax (970) 926-6348

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Matthew Gerald 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.

PECOS PAC ID4183061922
PECOS Enrollment IDI20240328001103, I20260611003990
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Matthew Fuller reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stellar Clinic Ct PLLC
472 mi
Mental Health
220 W CONGRESS ST
Detroit, MI 48226
  • Reassigned Medicare billing, Colorado and Virginia enrollments
  • 9 clinicians in this Medicare group
NPI 1609641042 (734) 584-0133
Sondermind, P.A.
592 mi
Clinical
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Minnesota, Oregon and Tennessee enrollments
  • Medicare enrollment name: Sondermind PA
  • 28 clinicians in this Medicare group
NPI 1710647581 (844) 843-7279
Sondermind Provider Network LLC
1,022 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado, New Hampshire, Utah, Virginia and Wisconsin enrollments
  • 940 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279
Provider Profile
1,969 mi
Professional
3434 S KELLY AVE
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 4 clinicians in this Medicare group
NPI 1184862955 (503) 309-1734

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. ENGLISH FLACK MD
Pediatrics (Pediatric Cardiology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DANIEL K BARRETT APRN
Nurse Practitioner (Acute Care)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
JACQUELYN L. GARNER PNP
Nurse Practitioner (Pediatrics)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DR. ROBERT JAMES LENTZ M.D.
Internal Medicine (Pulmonary Disease)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
LYNN HOLLIDAY M.D.
Family Medicine
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DR. HEATHER KRETH PSY.D
Psychologist (Clinical Child & Adolescent)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 936-2000
AARON WESLEY SCOTT APN
Nurse Practitioner
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 936-2000
DR. COLLEEN M KIERNAN M.D.
Surgery (Surgical Oncology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000

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 Matthew Fuller's NPI number?

The NPI number for Matthew Fuller is 1750946950. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Matthew Fuller located?

Matthew Fuller practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 936-2000.

What is Matthew Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Matthew Fuller enrolled in Medicare?

Yes. Matthew 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 Matthew Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Fuller reassigns Medicare benefits to 4 organizations: Stellar Clinic Ct PLLC (Detroit, MI), Sondermind, P.A. (Wichita, KS), Sondermind Provider Network LLC (Denver, CO) and (Portland, OR). 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 Matthew Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Fuller accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee and 13 other insurers list Matthew 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.

When was this NPI record last updated?

The NPPES record for Matthew Fuller was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.