Active NPI 1669090783 Individual Practitioner Female Practitioner

Susan Rutkowski Fuller , NURSE PRACTITIONER

Nurse Practitioner • Wake Forest, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Susan Fuller, NURSE PRACTITIONER is a certified Nurse Practitioner practicing in Wake Forest, NC. With approximately 6 years of clinical experience since completing medical education in 2020, Susan Fuller delivers high-quality medical care to the local community at 3635 ROGERS RD.

Susan Fuller maintains professional affiliations with Wake Spine And Pain Specialists Pc, Select Physical Therapy Holdings Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3635 Rogers Rd

Wake Forest, NC 275877634

Telephone 9197877246

Fax 9197877247

Associated Practice Facility / Clinic

🏢 Wake Spine & Pain Specialists Pc Facility NPI 1568696748

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wake Forest, NC

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

6 Yrs -5.7 yrs vs City Avg

City Avg: 11.7 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

10 Specialists

Practicing in Wake Forest, NC (4565 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fuller (6 Years) 6 Yrs

Wake Forest Specialty Average (11.7 Years) 11.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	89	$277.00	$100.54
99213 Established patient office or other outpatient visit, typically 15 minutes	56	44	$196.00	$71.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$390.00	$102.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$412.00	$129.38
81002 Urinalysis, manual test	25	19	$12.00	$3.27
G0008 Administration of influenza virus vaccine	20	20	$58.00	$30.39
90662 Influenza vaccine split virus, preservative free	18	18	$126.00	$81.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	125	$277.46	$101.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$407.07	$134.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$377.95	$104.38
G0008 Administration of influenza virus vaccine	19	18	$55.79	$29.17
81002 Urinalysis, manual test	18	15	$11.67	$3.41
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	16	16	$199.50	$70.72
G0009 Administration of pneumococcal vaccine	12	12	$42.25	$29.17
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$375.75	$281.68
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$196.00	$73.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	90	$278.00	$103.97
99213 Established patient office or other outpatient visit, typically 15 minutes	64	55	$196.00	$74.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	46	$119.60	$45.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$337.00	$106.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$399.00	$132.33
81002 Urinalysis, manual test	21	21	$11.00	$3.43
G0008 Administration of influenza virus vaccine	21	21	$37.00	$28.04
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	15	15	$84.00	$70.25
G0009 Administration of pneumococcal vaccine	11	11	$37.00	$25.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	80	71	$120.00	$35.33
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	55	50	$39.00	$18.52
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$99.00	$60.04
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$112.33	$75.39
G0008 Administration of influenza virus vaccine	15	15	$26.00	$16.26
90662 Influenza vaccine split virus, preservative free	14	14	$48.00	$48.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	40	40	$26.00	$16.11
90662 Influenza vaccine split virus, preservative free	38	38	$44.00	$44.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	16	$39.00	$18.88
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	12	12	$120.00	$35.33

Medical Specialties & State Licenses

CMS Verified: 2025-04-01

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NC 5013256

(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 - Family

NUCC Taxonomy Code: 363LF0000X

State License NC 5013256

Definition to come...

Hospital & Practice Group Affiliations

Wake Spine And Pain Specialists Pc

3801 Wake Forest Rd, Raleigh, NC 276096864

Phone: 9197877246

Select Physical Therapy Holdings Inc

101 Sw Cary Pkwy, Cary, NC 275115562

Phone: 9194677678

Wake Spine And Pain Specialists Pc

510 Timber Dr E, Garner, NC 275294689

Phone: 9197877246

Practice Associates & Co-Workers

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

27 Associated Practitioners

Princy Paul , NP

Nurse Practitioner

NPI 1013501980

Nurse Practitioner

Kristina Bullock , PA-C

Physician Assistant

NPI 1023553096

Physician Assistant (Certified)

Julia Marki , PA-C

Physician Assistant

NPI 1093226524

Physician Assistant (Certified)

Shannon Vassallo , PA

Physician Assistant

NPI 1114357274

Physician Assistant

Dr. Brian Hertzberg , MD

Anesthesiology - Pain Medicine

NPI 1144586439

Doctor of Medicine (M.D.)

Dr. Jeffrey Cegelski , MD

Anesthesiology - Pain Medicine

NPI 1144717026

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location April 28, 2025

Registered at 3635 ROGERS RD, WAKE FOREST, NC 275877634 (Tel: 9197877246)

📍

Updated Business Mailing Address April 28, 2025

Registered at 3801 WAKE FOREST RD STE 210, RALEIGH, NC 276096864 (Tel: 9197877246)

📍

Updated Practice Location August 03, 2020

Registered at 11911 US 70 HWY W, CLAYTON, NC 275202144 (Tel: 8663892727)

📍

Updated Business Mailing Address August 03, 2020

Registered at 11911 US 70 HWY W, CLAYTON, NC 275202144 (Tel: 9198776456)

✅

NPI Profile Active July 07, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location July 07, 2020

Registered at 11911 US 70 HWY W # 70, CLAYTON, NC 275202144 (Tel: 8663892727)

📍

Updated Business Mailing Address July 07, 2020

Registered at 11911 US HWY 70 W, CLAYTON, NC 27520

👤

Provider Name / Credentials Updated July 07, 2020

Recorded as SUSAN FULLER, NURSE PRACTITIONER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2020

Nurse Practitioner (License #5013256 in NC)

🟢

Initial NPI Registration & Enumeration July 07, 2020

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: 1669090783

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2020

Last Update: April 28, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3801 Wake Forest Rd Ste 210

Raleigh, NC 276096864

Phone: 9197877246

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.