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NICKY FULLER
NPI 1902468556
Nurse Practitioner - Family in Deerfield Beach, FL

Active since July 03, 2019PECOS EnrolledAccepts Medicare Assignment
1 W SAMPLE RD STE 103, DEERFIELD BEACH, FL 33064(954) 942-6868(954) 942-6854 Get Directions Write a Review

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

Record update history: Jan 27, 2026, Jan 18, 2023, Sep 18, 2020 and 1 more (4 updates tracked since 2019).

About Nicky Fuller NPPES

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

NICKY FULLER (NPI 1902468556) is an individual family provider in Deerfield Beach, Florida, licensed in Florida (APRN11003023) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902468556
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICKY FULLER
Location Address1 W SAMPLE RD STE 103Deerfield Beach, FL 33064-3547
Mailing Address1 W Sample Rd Ste 103Deerfield Beach, FL 33064-3547 · (954) 942-6868
Phone(954) 942-6868
Fax(954) 942-6854
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 3, 2019
Last NPPES UpdateJanuary 27, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1902468556 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
Licenses✔ Licensed in FL · APRN11003023✔ Licensed in FL · 11003023
1 W SAMPLE RD STE 103, Deerfield Beach, FL 33064
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Nicky Fuller 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 ID4284024068
PECOS Enrollment IDI20211209002761
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 10

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
370 services268 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.
278 services229 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.
258 services179 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
201 services171 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
127 services127 patients
Exam of the nose and throat using an endoscope 92511
An endoscopic examination of the nose and throat is a procedure where a thin, flexible tube with a light and camera attached (endoscope) is used to view these areas in detail. It helps identify any abnormalities or issues that may be causing symptoms like difficulty swallowing, persistent cough, or nasal congestion.
63 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33064 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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

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

MRS. MELISSA ANN HENDRIXSON PA-C
Physician Assistant
1 W SAMPLE RD STE 103
POMPANO BEACH, FL 33064
Broward County (954) 942-6868

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 Nicky Fuller's NPI number?

The NPI number for Nicky Fuller is 1902468556. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Nicky Fuller located?

Nicky Fuller practices at 1 W Sample Rd Ste 103, Deerfield Beach, FL 33064. The listed phone number is (954) 942-6868.

What is Nicky Fuller's specialty?

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

Is Nicky Fuller enrolled in Medicare?

Yes. Nicky 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 Nicky Fuller accept?

Health plans from AvMed list Nicky 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 Nicky Fuller was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.