JEREMY R FULLER CRNA
NPI 1780975664
Nurse Anesthetist, Certified Registered in Spokane, WA
About Jeremy R Fuller Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY R FULLER CRNA (NPI 1780975664) is an individual nurse anesthetist, certified registered in Spokane, Washington, licensed in Washington (AP60308924) and active in the NPI registry since April 2011. He is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Jeremy R 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jeremy Fuller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 102 clinicians in this Medicare group
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 39 clinicians in this Medicare group
Spokane, WA 99223
- Reassigned Medicare billing, Washington enrollment
- 38 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 3
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 99204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SPOKANE, WA 99204
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 Jeremy Fuller's NPI number?
The NPI number for Jeremy Fuller is 1780975664. It was assigned to this individual provider in the NPPES registry on April 26, 2011.
Where is Jeremy Fuller located?
Jeremy Fuller practices at 800 W 5th Ave, Spokane, WA 99204. The listed phone number is (509) 458-5800.
What is Jeremy Fuller's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jeremy Fuller enrolled in Medicare?
Yes. Jeremy 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 Jeremy Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Fuller reassigns Medicare benefits to 3 organizations: Anesthesia Associates, Ps (Spokane, WA), Spokane Eye Clinic Ps (Spokane, WA) and Spokane Outpatient Anesthesia PLLC (Spokane, WA). 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 Jeremy 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 Jeremy Fuller was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jeremy R Fuller, CRNA · NPI 1780975664
Nurse Anesthetist, Certified Registered physician in Spokane, Washington. Individual provider, active in the CMS NPPES registry since April 26, 2011.
## Identity
- **NPI:** 1780975664 (Entity type: Individual)
- **Enumerated:** April 26, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP60308924 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 W 5TH AVE, Spokane, WA 99204-2803
- **Phone:** (509) 458-5800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Anesthesia Associates, Ps (NPI 1831143254, Spokane, WA); Spokane Eye Clinic Ps (NPI 1730187899, Spokane, WA); Spokane Outpatient Anesthesia PLLC (NPI 1114645546, Spokane, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** January 31, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1780975664) · Data from the CMS NPPES public registry.