ANGELA KAY FULLER NP
NPI 1962596536
Nurse Practitioner - Women's Health in Tomah, WI

Q: What is Angela Fuller's NPI number?

The NPI number for Angela Fuller is 1962596536. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Angela Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Angela Fuller was last updated on August 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since October 03, 2006PECOS Enrolled

500 E VETERANS ST, TOMAH, WI 54660(608) 372-3971(608) 374-8408 Get Directions Write a Review

NPPES record last updated: August 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Angela Kay Fuller Np NPPES

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

ANGELA KAY FULLER NP (NPI 1962596536) is an individual women's health provider in Tomah, Wisconsin, licensed in Wisconsin (2571-033) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962596536

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameANGELA KAY FULLERCredential: NP

Location Address500 E VETERANS STTomah, WI 54660-3105

Mailing AddressS4259 Crawford St.Baraboo, WI 53913-9118 · (608) 963-1090

Phone(608) 372-3971

Fax(608) 374-8408

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateAugust 24, 2025

NPPES CertifiedAugust 24, 2025

✔ NPI 1962596536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in WI · 2571-033

500 E VETERANS ST, Tomah, WI 54660

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Other Identifiers 1

Medicaid41256600WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Kay Fuller Np 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 54660 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

MS. ANNE MARY WALLUS

Dietitian, Registered