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DANIEL EVERETT FULLER CRNA
NPI 1770957094
Nurse Anesthetist, Certified Registered in Walnut Creek, CA

Active since November 24, 2015Accepts Medicare Assignment
1425 S MAIN ST, WALNUT CREEK, CA 94596(925) 295-4000 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 11, 2022, Nov 24, 2015 (2 updates tracked since 2015).

About Daniel Everett Fuller Crna NPPES

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

DANIEL EVERETT FULLER CRNA (NPI 1770957094) is an individual nurse anesthetist, certified registered in Walnut Creek, California, licensed in California (95000418) and active in the NPI registry since November 2015. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1770957094
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDANIEL EVERETT FULLERCredential: CRNA
Location Address1425 S MAIN STWalnut Creek, CA 94596-5318
Mailing Address3908 Renner StCarmichael, CA 95608-2629 · (916) 944-0336
Phone(925) 295-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 24, 2015
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
✔ NPI 1770957094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95000418
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1425 S MAIN ST, Walnut Creek, CA 94596
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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

Daniel Everett Fuller Crna 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 ID941580864
PECOS Enrollment IDI20161212002340

Medicare Billing Reassignments

5

Medicare enrollment records show Daniel Fuller reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
17 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555
Sutter Valley Medical Foundation
24 mi
Multi-Specialty
2720 LOW CT
Fairfield, CA 94534
NPI 1184859894 (707) 428-2731
Green Anesthesia
24 mi
Nurse Anesthetist, Certified Registered
2700 LOW CT FL 2
Fairfield, CA 94534
  • Reassigned Medicare billing, California enrollment
  • 64 clinicians in this Medicare group
NPI 1457039331 (707) 432-2700
Regents Of The Univ Of Ca
48 mi
Medical Microbiology
3146 TUPPER HALL
Davis, CA 95616
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1053304071 (530) 752-9402
Southern Mono Health Care District
156 mi
Rural
221 TWIN LAKES ROAD
Bridgeport, CA 93517
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1962444059 (California)
  • 113 clinicians in this Medicare group
NPI 1821149816 (760) 932-7011

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94596 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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.

BROOK ANDREW WOOLLEY M.D.
Emergency Medicine
1425 S MAIN ST, EMERGENCY MEDICINE DEPARTMENT
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-5100
DR. THOMAS CRESANTE D.O.
Hospitalist
1425 S MAIN ST, KAISER PERMANENTE WALNUT CREEK ATTN: HBS DEPT
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4643
SARA WON MD
Obstetrics & Gynecology
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4040
KAISER PERMANENTE
General Acute Care Hospital
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000
MICHELLE CABLE VU CRNA
Nurse Anesthetist, Certified Registered
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000
DR. JESUS GIL JIMENEZ MD
Surgery (Vascular Surgery)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4110
MR. EDWARD HAL PIECZENIK L.C.S.W.
Social Worker (Clinical)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-5237
CARLOS A. CROMEYER MD
Psychiatry & Neurology (Neurology)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000

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 Daniel Fuller's NPI number?

The NPI number for Daniel Fuller is 1770957094. It was assigned to this individual provider in the NPPES registry on November 24, 2015.

Where is Daniel Fuller located?

Daniel Fuller practices at 1425 S Main St, Walnut Creek, CA 94596. The listed phone number is (925) 295-4000.

What is Daniel Fuller's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Daniel Fuller enrolled in Medicare?

Yes. Daniel 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 Daniel Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Fuller reassigns Medicare benefits to 5 organizations: Permanente Medical Group Inc (Richmond, CA), Sutter Valley Medical Foundation (Fairfield, CA), Green Anesthesia (Fairfield, CA), Regents Of The Univ Of Ca (Davis, CA) and Southern Mono Health Care District (Bridgeport, CA). 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 Daniel Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Daniel Fuller was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.