ANTONETTE FULLER
NPI 1952124091
Nurse Practitioner - Family in Glastonbury, CT

Active since November 06, 2024PECOS EnrolledAccepts Medicare Assignment
2639 MAIN ST, GLASTONBURY, CT 06033(860) 659-1329 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Antonette Fuller NPPES

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

ANTONETTE FULLER (NPI 1952124091) is an individual family provider in Glastonbury, Connecticut, licensed in Connecticut (14117) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1952124091
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANTONETTE FULLER
Location Address2639 MAIN STGlastonbury, CT 06033-2023
Mailing Address2639 Main StGlastonbury, CT 06033-2023
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 6, 2024
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1952124091 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 CT · 14117
2639 MAIN ST, Glastonbury, CT 06033

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

Antonette 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 ID5294263760
PECOS Enrollment IDI20250110003217
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 06033 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Physician Assistant
2639 MAIN ST
GLASTONBURY, CT 06033
Nurse Practitioner (Family)
2639 MAIN ST
GLASTONBURY, CT 06033
Nurse Practitioner (Family)
2639 MAIN ST
GLASTONBURY, CT 06033
Nurse Practitioner (Family)
2639 MAIN ST
GLASTONBURY, CT 06033
Nurse Practitioner (Family)
2639 MAIN ST
GLASTONBURY, CT 06033
Pharmacist
2639 MAIN ST
GLASTONBURY, CT 06033
Nurse Practitioner (Family)
2639 MAIN ST
GLASTONBURY, CT 06033
Nurse Practitioner
2639 MAIN ST
GLASTONBURY, CT 06033

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 Antonette Fuller's NPI number?

The NPI number for Antonette Fuller is 1952124091. It was assigned to this individual provider in the NPPES registry on November 6, 2024.

Where is Antonette Fuller located?

Antonette Fuller practices at 2639 Main St, Glastonbury, CT 06033. The listed phone number is (860) 659-1329.

What is Antonette Fuller's specialty?

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

Is Antonette Fuller enrolled in Medicare?

Yes. Antonette 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.

When was this NPI record last updated?

The NPPES record for Antonette Fuller was last updated on November 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.