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Active NPI 1295722155 Individual Practitioner Female Practitioner

Susan Fullerton , MSN

Nurse Practitioner • Newark, DE

Professional Overview & Biography Verified Profile Summary

Susan Fullerton, MSN is a registered healthcare professional specializing in Nurse Practitioner in Newark, DE. Practice services are available at 4923 OGLETOWN STANTON RD under active NPI credentials.

Frequently performed procedures and clinical services include dialysis services, dialysis services, 2-3 physician visits per month (20 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4923 Ogletown Stanton Rd
Suite 200

Newark, DE 197132081

Telephone 3022250451
Fax 3022250472
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Newark, DE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 9.1 Yrs
Regional Practice Density
116 Specialists

Practicing in Newark, DE (552 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)
13 12 $660.00 $239.60
90961 Dialysis services, 2-3 physician visits per month (20 years or older)
12 12 $604.00 $201.54

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License DE LG0000136

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MD AC000097

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
404275100 (MD)
Medicaid State Provider ID
1000024659 (DE)
Medicaid State Provider ID
0046973 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lieren Healey

Nurse's Aide

NPI 1023566866
NPI 1043615099

MSNFNPBC

Linda Mcminn

Nurse's Aide

NPI 1053902585
Valerie Burris

Nurse's Aide

NPI 1215325980
Yamileth Wu-Gerrard , MSN

Nurse Practitioner

NPI 1215977707

Master of Science in Nursing

Colleen Ellis , FNP-C

Nurse Practitioner

NPI 1225436801

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 15, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2011

Registered at 4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 197132081 (Tel: 3022250451)

📍
Updated Business Mailing Address June 15, 2011

Registered at 4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 197132081 (Tel: 3022250451)

👤
Provider Name / Credentials Updated June 15, 2011

Recorded as SUSAN FULLERTON, MSN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2011

Nurse Practitioner (License #LG0000136 in DE)

🟢
Initial NPI Registration & Enumeration October 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295722155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2005
Last Update: June 15, 2011
Sole Proprietor: No

Mailing Address

4923 Ogletown Stanton Rd, Suite 200

Newark, DE 197132081

Phone: 3022250451

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.