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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUSTIN WAYNE FULLER
NPI 1962176917
Nurse Anesthetist, Certified Registered in Goodyear, AZ

Active since August 03, 2021Accepts Medicare Assignment
92.28/100
CMS Quality Rating
13677 W MCDOWELL RD, GOODYEAR, AZ 85395(602) 284-1903 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 15, 2026, Sep 29, 2026, Aug 3, 2021 (3 updates tracked since 2021).

About Justin Wayne Fuller NPPES

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

JUSTIN WAYNE FULLER (NPI 1962176917) is an individual nurse anesthetist, certified registered in Goodyear, Arizona, licensed in Arizona (264564) and active in the NPI registry since August 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1962176917
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJUSTIN WAYNE FULLER
Location Address13677 W MCDOWELL RDGoodyear, AZ 85395-2600
Mailing Address13677 W Mcdowell RdGoodyear, AZ 85395-2600 · (972) 761-5508
Phone(602) 284-1903
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 3, 2021
Last NPPES UpdateOctober 15, 20263 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1962176917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in AZ · 264564✔ Licensed in AZ · RN185391
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
13677 W MCDOWELL RD, Goodyear, AZ 85395
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Wayne 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 ID4880082619
PECOS Enrollment IDI20211028001039

Medicare Billing Reassignments

6

Medicare enrollment records show Justin Fuller reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vhs Outpatient Clinics, Inc.
0.1 mi
Multi-Specialty
1325 N LITCHFIELD RD STE 125
Goodyear, AZ 85395
  • Reassigned Medicare billing, Arizona enrollment
  • 267 clinicians in this Medicare group
NPI 1912979964 (623) 242-1231
Banner - University Hospital Based Physicians LLC
16 mi
General Acute Care Hospital
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 728 clinicians in this Medicare group
NPI 1750751566 (602) 747-4000
Ascend Anesthesia LLC
36 mi
Nurse Anesthetist, Certified Registered
4620 E BASELINE RD
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 298 clinicians in this Medicare group
NPI 1407642945 (623) 320-0660
Banner Hospital Based Physicians Arizona LLC
37 mi
Multi-Specialty
1900 N HIGLEY RD
Gilbert, AZ 85234
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
NPI 1124374822 (480) 543-2034
Hospitalist Medicine Physicians Of Arizona - Nogales
129 mi
Nurse Anesthetist, Certified Registered
5755 S HOUGHTON RD
Tucson, AZ 85747
  • Reassigned Medicare billing, Arizona enrollment
  • 204 clinicians in this Medicare group
NPI 1487251799 (520) 324-5818
Anesthesia Partners Of Arizona LLC
906 mi
Anesthesiology
2221 LAKESIDE BLVD STE 600
Richardson, TX 75082
  • Reassigned Medicare billing, Arizona enrollment
  • 390 clinicians in this Medicare group
NPI 1619452901 (855) 285-2455

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost51.21

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.

HOSPITAL DEVELOPMENT OF WEST PHOENIX INC
Internal Medicine (Cardiovascular Disease)
13677 W MCDOWELL RD
GOODYEAR, AZ 85395
Maricopa County (623) 882-1500
GIA SAINI MD
Student in an Organized Health Care Education/Training Program
13677 W MCDOWELL RD
GOODYEAR, AZ 85395
Maricopa County (623) 882-1500
LOVELEEN PAUL DO
Student in an Organized Health Care Education/Training Program
13677 W MCDOWELL RD
GOODYEAR, AZ 85395
Maricopa County (623) 882-1500
SHREYESI SRIVASTAVA
Student in an Organized Health Care Education/Training Program
13677 W MCDOWELL RD
GOODYEAR, AZ 85395
Maricopa County (623) 561-7279
LOGAN JAMES ROACH
Nurse Anesthetist, Certified Registered
13677 W MCDOWELL RD
GOODYEAR, AZ 85395
Maricopa County (623) 882-1500
SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF ARIZONA, INC.
Pediatrics (Neonatal-Perinatal Medicine)
13677 W MCDOWELL RD
GOODYEAR, AZ 85395
Maricopa County (866) 773-1284
ZACHARY SUTTON DO
Student in an Organized Health Care Education/Training Program
13677 W MCDOWELL RD
GOODYEAR, AZ 85395
Maricopa County (638) 882-1500
KATRINA CARBONELL AQUINO PA
Physician Assistant
13677 W MCDOWELL RD
GOODYEAR, AZ 85395
Maricopa County (623) 882-1500

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 Justin Fuller's NPI number?

The NPI number for Justin Fuller is 1962176917. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Justin Fuller located?

Justin Fuller practices at 13677 W Mcdowell Rd, Goodyear, AZ 85395. The listed phone number is (602) 284-1903.

What is Justin Fuller's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Justin Fuller enrolled in Medicare?

Yes. Justin 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.

Which organizations bill Medicare for Justin Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Fuller reassigns Medicare benefits to 6 organizations: Vhs Outpatient Clinics, Inc. (Goodyear, AZ), Banner - University Hospital Based Physicians LLC (Phoenix, AZ), Ascend Anesthesia LLC (Mesa, AZ), Banner Hospital Based Physicians Arizona LLC (Gilbert, AZ), Hospitalist Medicine Physicians Of Arizona - Nogales (Tucson, AZ) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Fuller accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health and Oscar Health Plan, Inc. and 1 other insurer list Justin 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 Justin Fuller was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.