NINO FULLER AGACNP-BC
NPI 1962974469
Nurse Practitioner in Henderson, TX
About Nino Fuller Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NINO FULLER AGACNP-BC (NPI 1962974469) is an individual nurse practitioner in Henderson, Texas, licensed in Texas (AP140425) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Nino Fuller Agacnp-bc 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.
Medicare Billing Reassignments
11Medicare enrollment records show Nino Fuller reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Longview, TX 75601
- Reassigned Medicare billing, Texas enrollment
- 334 clinicians in this Medicare group
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 636 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 1,208 clinicians in this Medicare group
Mansfield, TX 76063
- Reassigned Medicare billing, Texas enrollment
- 994 clinicians in this Medicare group
Beaumont, TX 77701
- Reassigned Medicare billing, Texas enrollment
- 478 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Texas enrollment
- 2,009 clinicians in this Medicare group
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 1,172 clinicians in this Medicare group
Pulaski, VA 24301
- Reassigned Medicare billing, Virginia enrollment
- 104 clinicians in this Medicare group
Blacksburg, VA 24060
- Reassigned Medicare billing, Virginia enrollment
- 66 clinicians in this Medicare group
Salem, VA 24153
- Reassigned Medicare billing, Virginia enrollment
- 181 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Good Shepherd Medical Center
Acute Care Hospitals · Longview, TXTexas Health Arlington Memorial Hospital
Acute Care Hospitals · Arlington, TXChristus Mother Frances Hospital
Acute Care Hospitals · Tyler, TXUt Health East Texas Athens Hospital
Acute Care Hospitals · Athens, TXUt Health East Texas Henderson Hospital
Acute Care Hospitals · Henderson, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75652 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
HENDERSON, TX 75652
HENDERSON, TX 75652
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 Nino Fuller's NPI number?
The NPI number for Nino Fuller is 1962974469. It was assigned to this individual provider in the NPPES registry on December 20, 2018.
Where is Nino Fuller located?
Nino Fuller practices at 300 Wilson St, Henderson, TX 75652. The listed phone number is (903) 655-6536.
What is Nino Fuller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Nino Fuller enrolled in Medicare?
Yes. Nino 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 Nino Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nino Fuller reassigns Medicare benefits to 11 organizations: North Texas Physician Services, PLLC (Longview, TX), Etmc Physician Group Inc. (Tyler, TX), Cogent Healthcare Of Texas, PA (Dallas, TX), Lonestar Hospital Medicine Associates, PA (Mansfield, TX), Sound Inpatient Physicians Of Texas I, Inc (Beaumont, TX) and 6 more organizations, 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 Nino Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nino Fuller accept?
Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Nino 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.
Is Nino Fuller affiliated with any hospitals?
According to CMS data, Nino Fuller is affiliated with Christus Good Shepherd Medical Center, Texas Health Arlington Memorial Hospital, Christus Mother Frances Hospital, Ut Health East Texas Athens Hospital and Ut Health East Texas Henderson Hospital.
When was this NPI record last updated?
The NPPES record for Nino Fuller was last updated on November 30, 2022. 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.
# Nino Fuller, AGACNP-BC · NPI 1962974469
Nurse Practitioner physician in Henderson, Texas. Individual provider, active in the CMS NPPES registry since December 20, 2018.
## Identity
- **NPI:** 1962974469 (Entity type: Individual)
- **Enumerated:** December 20, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AP140425 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 WILSON ST, Henderson, TX 75652-5956
- **Phone:** (903) 655-6536
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): North Texas Physician Services, PLLC (NPI 1992586150, Longview, TX); Etmc Physician Group Inc. (NPI 1609382662, Tyler, TX); Cogent Healthcare Of Texas, PA (NPI 1992722953, Dallas, TX); Lonestar Hospital Medicine Associates, PA (NPI 1518237429, Mansfield, TX); Sound Inpatient Physicians Of Texas I, Inc (NPI 1457643223, Beaumont, TX); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1962974469) · Data from the CMS NPPES public registry.