NIKOL FULLER NP
NPI 1891232252
Nurse Practitioner - Pediatrics in Fresno, CA

Q: What is Nikol Fuller's NPI number?

The NPI number for Nikol Fuller is 1891232252. It was assigned to this individual provider in the NPPES registry on January 24, 2017.

Q: What is Nikol Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Nikol Fuller was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 24, 2017PECOS Enrolled

290 N WAYTE LN # 1300, FRESNO, CA 93701(866) 342-6012 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 14, 2020, Feb 14, 2017, Jan 24, 2017 (3 updates tracked since 2017).

On this page

About Nikol Fuller Np NPPES

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

NIKOL FULLER NP (NPI 1891232252) is an individual pediatrics provider in Fresno, California, licensed in California (95006169) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891232252

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameNIKOL FULLERCredential: NP

Location Address290 N WAYTE LN # 1300Fresno, CA 93701-2124

Mailing Address2625 E Divisadero StFresno, CA 93721-1431

Phone(866) 342-6012

Sole ProprietorNo

Enumeration DateJanuary 24, 2017

Last NPPES UpdateJanuary 14, 20203 updates tracked since enumeration

✔ NPI 1891232252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CA · 95006169

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95006169 (CA)

290 N WAYTE LN # 1300, Fresno, CA 93701

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikol Fuller Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 93701 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONICA MARIE DANIELS NP

Nurse Practitioner (Pediatrics)