SABRINA MISTY FULLER
NPI 1780106831
Nurse Practitioner - Family in Orlando, FL

Active since July 11, 2017PECOS EnrolledAccepts Medicare Assignment
6101 LAKE ELLENOR DR, ORLANDO, FL 32809(407) 858-1487(407) 845-6136 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2018, Jul 11, 2017 (2 updates tracked since 2017).

About Sabrina Misty Fuller NPPES

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

SABRINA MISTY FULLER (NPI 1780106831) is an individual family provider in Orlando, Florida, licensed in Florida (9228514) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780106831
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSABRINA MISTY FULLER
Location Address6101 LAKE ELLENOR DROrlando, FL 32809-4616
Mailing Address6101 Lake Ellenor DrOrlando, FL 32809-4616 · (407) 723-5029 · Fax (407) 858-5523
Fax(407) 845-6136
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 11, 2017
Last NPPES UpdateApril 2, 20182 updates tracked since enumeration
NPI 1780106831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 9228514
6101 LAKE ELLENOR DR, Orlando, FL 32809

Secondary Practice Location 1

Location 1900 University Blvd N Ste 700Jacksonville, FL 32211-5530 · Phone (904) 353-2130 · Fax (904) 353-0213

Other Identifiers 1

Medicaid022688100FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sabrina Misty 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 ID7618231473
PECOS Enrollment IDI20180502000169
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 32809 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Clinic/Center (Dental)
6101 LAKE ELLENOR DR, SUITE 106
ORLANDO, FL 32809
Family Medicine
6101 LAKE ELLENOR DR, SUITE 105
ORLANDO, FL 32809
Clinic/Center (Federally Qualified Health Center (FQHC))
6101 LAKE ELLENOR DR, SUITE 105
ORLANDO, FL 32809
Dietitian, Registered
6101 LAKE ELLENOR DR
ORLANDO, FL 32809
Pharmacy (Community/Retail Pharmacy)
6101 LAKE ELLENOR DR, SUITE 101
ORLANDO, FL 32809
Obstetrics & Gynecology
6101 LAKE ELLENOR DR
ORLANDO, FL 32809
Advanced Practice Midwife
6101 LAKE ELLENOR DR
ORLANDO, FL 32809
Nurse Practitioner (Pediatrics)
6101 LAKE ELLENOR DR, SUITE 105
ORLANDO, FL 32809

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 Sabrina Fuller's NPI number?

The NPI number for Sabrina Fuller is 1780106831. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Where is Sabrina Fuller located?

Sabrina Fuller practices at 6101 Lake Ellenor Dr, Orlando, FL 32809. The listed phone number is (407) 858-1487.

What is Sabrina Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sabrina Fuller enrolled in Medicare?

Yes. Sabrina 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.

What insurance does Sabrina Fuller accept?

Health plans from AvMed list Sabrina 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 Sabrina Fuller was last updated on April 2, 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.