MS. KOLLEEN MARIAN FULLER RNNP
NPI 1952421059
Nurse Practitioner - Acute Care in Syracuse, NY

Q: What is Kolleen Fuller's NPI number?

The NPI number for Kolleen Fuller is 1952421059. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Q: What is Kolleen Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kolleen Fuller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 March 30, 2007PECOS Enrolled

736 IRVING AVE, SYRACUSE, NY 13210(315) 470-7111(315) 470-2642 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Kolleen Marian Fuller Rnnp NPPES

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

MS. KOLLEEN MARIAN FULLER RNNP (NPI 1952421059) is an individual acute care provider in Syracuse, New York, licensed in New York (300761-1) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952421059

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMS. KOLLEEN MARIAN FULLERCredential: RNNP

Location Address736 IRVING AVESyracuse, NY 13210-1687

Mailing Address57 Fennell StSkaneateles, NY 13152-1119 · (315) 685-0023

Phone(315) 470-7111

Fax(315) 470-2642

Sole ProprietorNo

Enumeration DateMarch 30, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1952421059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NY · 300761-1

736 IRVING AVE, Syracuse, NY 13210

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kolleen Marian Fuller Rnnp 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 13210 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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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.

IRENE S BORJA FNP-BC

Nurse Practitioner (Family)