RACHAEL FULLER
NPI 1902513070
Nurse Practitioner - Family in Jackson, MI

Q: What is Rachael Fuller's NPI number?

The NPI number for Rachael Fuller is 1902513070. It was assigned to this individual provider in the NPPES registry on October 28, 2022.

Q: What is Rachael Fuller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rachael Fuller was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 28, 2022PECOS EnrolledAccepts Medicare Assignment

205 N EAST AVE, JACKSON, MI 49201(517) 205-4800(313) 876-1305 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2023, Feb 1, 2023, Oct 28, 2022 (3 updates tracked since 2022).

On this page

About Rachael Fuller NPPES

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

RACHAEL FULLER (NPI 1902513070) is an individual family provider in Jackson, Michigan, licensed in Michigan (4704346116) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1902513070

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRACHAEL FULLER

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806 · Fax (313) 876-1305

Phone(517) 205-4800

Fax(313) 876-1305

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 28, 2022

Last NPPES UpdateFebruary 6, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2023

✔ NPI 1902513070 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

Licenses✔ Licensed in MI · 4704346116✔ Licensed in MI · F09221030

Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704346116 (MI)

205 N EAST AVE, Jackson, MI 49201

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Secondary Practice Location 1

Location 12564 Carpenter RdAnn Arbor, MI 48108-1175 · Phone (773) 640-2771

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Rachael 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 ID244602084

PECOS Enrollment IDI20230204000379

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

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.

51 services46 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230092

Location205 N East AveJackson, MI 49201 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

SAMANTHA RENE DANEK PA-C

Physician Assistant