1. Home
  2. Directory
  3. Illinois
  4. Rockford
  5. Nurse Practitioner
  6. NPI Profile

MICHELLE FULLER APN
NPI 1982086237
Nurse Practitioner in Rockford, IL

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
1415 E STATE ST, ROCKFORD, IL 61104(779) 696-4891(779) 696-5312 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2024, Mar 18, 2021, Jan 10, 2018 (3 updates tracked since 2018).

About Michelle Fuller Apn NPPES

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

MICHELLE FULLER APN (NPI 1982086237) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (209-012872) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1982086237
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELLE FULLERCredential: APN
Location Address1415 E STATE STRockford, IL 61104-2333
Mailing AddressPo Box 78866Milwaukee, WI 53278-8866 · (779) 696-7150
Phone(779) 696-4891
Fax(779) 696-5312
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 23, 2015
Last NPPES UpdateFebruary 6, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1982086237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209-012872
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.
1415 E STATE ST, Rockford, IL 61104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Michelle Fuller Apn 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 ID4789997222
PECOS Enrollment IDI20150713002991
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 5

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.

Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
231 services15 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
145 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services22 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
22 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.92
Promoting Interoperability78
Improvement Activities40
Cost55.01

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers15 claims260 services$8.45 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier40 claims2,280 services$0.10 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier15 claims262 services$20.12 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier64 claims1,751 services$6.71 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
1 supplier24 claims754 services$15.95 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
1 supplier24 claims450 services$6.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARTURO S. MANAS, LTD
Obstetrics & Gynecology
1415 E STATE ST, SUITE 800
ROCKFORD, IL 61104
Winnebago County (815) 965-7117
BRUCE L FEATHERS LCPC
Counselor (Mental Health)
1415 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 489-4376
GREGORY K PARKER LCPC
Counselor (Mental Health)
1415 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 489-4376
LEROY P BACH MD
Internal Medicine
1415 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 489-9508
BRENDA K BEARD LCSW
Social Worker (Clinical)
1415 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 489-4376
SWEDISHAMERICAN HOSPITAL
Psychiatry & Neurology (Psychiatry)
1415 E STATE ST, SUITE 900
ROCKFORD, IL 61104
Winnebago County (815) 489-4183
SWEDISHAMERICAN HOSPITAL
Obstetrics & Gynecology
1415 E STATE ST, 8TH FLOOR
ROCKFORD, IL 61104
Winnebago County (779) 696-9120
SWEDISHAMERICAN HOSPITAL
Obstetrics & Gynecology
1415 E STATE ST, SUITE 200
ROCKFORD, IL 61104
Winnebago County (815) 489-4551

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 Michelle Fuller's NPI number?

The NPI number for Michelle Fuller is 1982086237. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Michelle Fuller located?

Michelle Fuller practices at 1415 E State St, Rockford, IL 61104. The listed phone number is (779) 696-4891.

What is Michelle Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michelle Fuller enrolled in Medicare?

Yes. Michelle 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 Michelle Fuller accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Aspirus Health Plan and Quartz list Michelle 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 Michelle Fuller affiliated with any hospitals?

According to CMS data, Michelle Fuller is affiliated with Uw Health.

When was this NPI record last updated?

The NPPES record for Michelle Fuller was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.