MRS. STEPHANIE RENEE FULLER MS, FNP-C
NPI 1780138305
Nurse Practitioner - Family in Dallas, TX
About Mrs. Stephanie Renee Fuller Ms, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STEPHANIE RENEE FULLER MS, FNP-C (NPI 1780138305) is an individual family provider in Dallas, Texas, licensed in Texas (AP131525) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in League City, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Mrs. Stephanie Renee Fuller Ms, Fnp-c 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
7Medicare enrollment records show Stephanie Fuller reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11231
- Reassigned Medicare billing, New York enrollment
- 20 clinicians in this Medicare group
Brooklyn, NY 11206
- Reassigned Medicare billing, New York enrollment
- 49 clinicians in this Medicare group
Spring Valley, NY 10977
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Park Avenue Pediatrics PC
- 87 clinicians in this Medicare group
Far Rockaway, NY 11691
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Alegria Operating LLC
- 11 clinicians in this Medicare group
Mineola, NY 11501
- Reassigned Medicare billing, New York enrollment
- 64 clinicians in this Medicare group
Mineola, NY 11501
- Reassigned Medicare billing, New York enrollment
- 55 clinicians in this Medicare group
Yorktown Heights, NY 10598
- Reassigned Medicare billing, New York enrollment
- 149 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75248 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Stephanie Fuller's NPI number?
The NPI number for Stephanie Fuller is 1780138305. It was assigned to this individual provider in the NPPES registry on August 11, 2016. The provider is also known as Stephanie Fuller Ms, Fnp-C.
Where is Stephanie Fuller located?
Stephanie Fuller practices at 5556 Cantabria Dr, Dallas, TX 75248. The listed phone number is (214) 405-5556.
What is Stephanie Fuller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Fuller enrolled in Medicare?
Yes. Stephanie 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 Stephanie Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Fuller reassigns Medicare benefits to 7 organizations: Rockwell Health LLC (Brooklyn, NY), Modern Physician Services PC (Brooklyn, NY), Park Avenue Pediatrics, P.C. (Spring Valley, NY), The Partners Care (Far Rockaway, NY), Hicksville Family Medical Care, PLLC (Mineola, NY) and 2 more organizations, listed in the Medicare section above. 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 Stephanie 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 Stephanie Fuller was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Mrs. Stephanie Renee Fuller, MS, FNP-C · NPI 1780138305
Family physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since August 11, 2016.
## Identity
- **NPI:** 1780138305 (Entity type: Individual)
- **Enumerated:** August 11, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP131525 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5556 CANTABRIA DR, Dallas, TX 75248-6445
- **Phone:** (214) 405-5556
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Rockwell Health LLC (NPI 1699479733, Brooklyn, NY); Modern Physician Services PC (NPI 1932590601, Brooklyn, NY); Park Avenue Pediatrics, P.C. (NPI 1699969543, Spring Valley, NY); The Partners Care (NPI 1386093367, Far Rockaway, NY); Hicksville Family Medical Care, PLLC (NPI 1770813792, Mineola, NY); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780138305) · Data from the CMS NPPES public registry.