MRS. KAREN FULLER NP
NPI 1831731306
Nurse Practitioner - Family in Dallas, GA

Active since October 16, 2019PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
495 CHARLES HARDY PKWY, DALLAS, GA 30157(770) 445-2128 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2020, Oct 16, 2019 (2 updates tracked since 2019).

About Mrs. Karen Fuller Np NPPES

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

MRS. KAREN FULLER NP (NPI 1831731306) is an individual family provider in Dallas, Georgia, licensed in Georgia (143023) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austell, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831731306
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KAREN FULLERCredential: NP
Location Address495 CHARLES HARDY PKWYDallas, GA 30157-5723
Mailing Address495 Charles Hardy PkwyDallas, GA 30157-5723 · (770) 445-2128
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 16, 2019
Last NPPES UpdateNovember 9, 20202 updates tracked since enumeration
NPPES CertifiedNovember 7, 2020
NPI 1831731306 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 GA · 143023
495 CHARLES HARDY PKWY, Dallas, GA 30157

Secondary Practice Location 1

Location 14898 Austell RdAustell, GA 30106-2055 · Phone (770) 635-8407

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

Mrs. Karen Fuller Np 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 ID1557774841
PECOS Enrollment IDI20210105002295
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services93 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
14 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30157 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Pharmacist
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Pharmacist
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Nurse Practitioner (Family)
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Nurse Practitioner (Family)
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Pharmacist
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Nurse Practitioner (Family)
495 CHARLES HARDY PKWY
DALLAS, GA 30157
Nurse Practitioner (Family)
495 CHARLES HARDY PKWY
DALLAS, GA 30157

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 Karen Fuller's NPI number?

The NPI number for Karen Fuller is 1831731306. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Where is Karen Fuller located?

Karen Fuller practices at 495 Charles Hardy Pkwy, Dallas, GA 30157. The listed phone number is (770) 445-2128.

What is Karen Fuller's specialty?

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

Is Karen Fuller enrolled in Medicare?

Yes. Karen 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 Karen Fuller accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Karen 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 Karen Fuller was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.