NINO FULLER AGACNP-BC
NPI 1962974469
Nurse Practitioner in Henderson, TX

Active since December 20, 2018PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
300 WILSON ST, HENDERSON, TX 75652(903) 655-6536 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 30, 2022, Nov 5, 2021, Oct 12, 2021 and 1 more (4 updates tracked since 2018).

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

NPI1962974469
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNINO FULLERCredential: AGACNP-BC
Location Address300 WILSON STHenderson, TX 75652-5956
Mailing Address300 Wilson StHenderson, TX 75652-5956 · (903) 655-6536
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 20, 2018
Last NPPES UpdateNovember 30, 20224 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
NPI 1962974469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in TX · AP140425 Licensed in VA · 0024180028
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP140425 (TX), GAA-NP000340 (GA), 866207 (TX), 0024180028 (VA)
300 WILSON ST, Henderson, TX 75652

Accepted Insurance

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

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.

PECOS PAC ID8820330038
PECOS Enrollment IDI20190508001054
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.

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
96 services93 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
23 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

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, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Texas Health Arlington Memorial Hospital

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450064
Location800 W Randol Mill RdArlington, TX 76012 · Tarrant County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson County
Emergency services Birthing friendly

Ut Health East Texas Henderson Hospital

Acute Care Hospitals · Henderson, TX
OwnershipProprietary
CMS Certification Number450475
Location300 Wilson StreetHenderson, TX 75652 · Rusk County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

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.

Internal Medicine
300 WILSON ST
HENDERSON, TX 75652
Nurse Practitioner (Psychiatric/Mental Health)
300 WILSON ST
HENDERSON, TX 75652
Nurse Anesthetist, Certified Registered
300 WILSON ST
HENDERSON, TX 75652
Emergency Medicine
300 WILSON ST
HENDERSON, TX 75652
Emergency Medicine
300 WILSON ST
HENDERSON, TX 75652
Clinic/Center
300 WILSON ST
HENDERSON, TX 75652
Emergency Medicine
300 WILSON ST
HENDERSON, TX 75652
Family Medicine
300 WILSON ST
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.

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 with the weekly NPPES data releases published by CMS.