TAMARA ANN FULLER FNP-BC
NPI 1891420154
Nurse Practitioner - Family in South Bend, IN

Active since July 20, 2022PECOS EnrolledAccepts Medicare Assignment
100 NAVARRE PL STE 5550, SOUTH BEND, IN 46601(574) 647-2550 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2023, Oct 27, 2023, Dec 10, 2022 and 2 more (5 updates tracked since 2022).

About Tamara Ann Fuller Fnp-bc NPPES

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

TAMARA ANN FULLER FNP-BC (NPI 1891420154) is an individual family provider in South Bend, Indiana, licensed in Indiana (71012996A) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and maintains a secondary practice location in South Bend.

NPPES Registry Identity

NPI1891420154
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMARA ANN FULLERCredential: FNP-BC
Location Address100 NAVARRE PL STE 5550South Bend, IN 46601-1169
Mailing Address100 Navarre Pl Ste 5550South Bend, IN 46601-1169
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 20, 2022
Last NPPES UpdateOctober 27, 20235 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
NPI 1891420154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71012996A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28132899A (IN)
100 NAVARRE PL STE 5550, South Bend, IN 46601

Secondary Practice Location 1

Location 1100 Navarre Pl Ste 6600South Bend, IN 46601-1173 · Phone (574) 647-8800 · Fax (574) 647-8896

Other Identifiers 2

Other259900048IN · Medicare
Medicaid300069235IN

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

Tamara Ann Fuller Fnp-bc 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 ID8921476086
PECOS Enrollment IDI20221121001657
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 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.

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.
48 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services26 patients
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.
29 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 11

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

Pediatrics (Pediatric Pulmonology)
100 NAVARRE PL STE 5550
SOUTH BEND, IN 46601
Nurse Practitioner (Pediatrics)
100 NAVARRE PL STE 5550
SOUTH BEND, IN 46601
Nurse Practitioner (Pediatrics)
100 NAVARRE PL STE 5550
SOUTH BEND, IN 46601
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
100 NAVARRE PL STE 5550
SOUTH BEND, IN 46601
Dietitian, Registered
100 NAVARRE PL STE 5550
SOUTH BEND, IN 46601
Dietitian, Registered
100 NAVARRE PL STE 5550
SOUTH BEND, IN 46601
Dietitian, Registered
100 NAVARRE PL STE 5550
SOUTH BEND, IN 46601
Physician Assistant
100 NAVARRE PL STE 5550
SOUTH BEND, IN 46601

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 Tamara Fuller's NPI number?

The NPI number for Tamara Fuller is 1891420154. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Tamara Fuller located?

Tamara Fuller practices at 100 Navarre Pl Ste 5550, South Bend, IN 46601. The listed phone number is (574) 647-2550.

What is Tamara Fuller's specialty?

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

Is Tamara Fuller enrolled in Medicare?

Yes. Tamara 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 Tamara Fuller accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Tamara 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.

Is Tamara Fuller affiliated with any hospitals?

According to CMS data, Tamara Fuller is affiliated with Elkhart General Hospital and Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Tamara Fuller was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.