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Active NPI 1245803345 Individual Practitioner Female Practitioner

Jennifer Lee Fuller , APRN-CNP

Nurse Practitioner • Idabel, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jennifer Fuller, APRN-CNP is a certified Nurse Practitioner practicing in Idabel, OK. With approximately 5 years of clinical experience since completing medical education in 2021, Jennifer Fuller delivers high-quality medical care to the local community at 1302 S LYNN LN.

Jennifer Fuller is affiliated with Walkup Family Medicine Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1302 S Lynn Ln

Idabel, OK 747456860

Telephone 5802863993
Associated Practice Facility / Clinic
🏢 Thomas W. Salyer, Do, Pc Facility NPI 1114006723

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Idabel, OK

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -1.0 yrs vs City Avg
City Avg: 6.0 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Idabel, OK (715 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fuller (5 Years) 5 Yrs
Idabel Specialty Average (6.0 Years) 6.0 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
462 131 $246.14 $98.90
99213 Established patient office or other outpatient visit, typically 15 minutes
242 101 $173.04 $69.05
36415 Insertion of needle into vein for collection of blood sample
65 52 $11.00 $8.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
43 12 $29.00 $11.16
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp
33 13 $76.62 $32.46
90661 Influenza vaccine, trivalent derived from cell cultures
18 18 $45.00 $36.11
G0008 Administration of influenza virus vaccine
17 17 $31.46 $30.07
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
11 11 $99.28 $41.67

Medical Specialties & State Licenses

CMS Verified: 2021-08-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OK 204314

(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.

Hospital & Practice Group Affiliations

Walkup Family Medicine Clinic Llc

1302 S Lynn Ln, Idabel, OK 747456860

Phone: 5802863993

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Stormy Walkup , DO

Family Medicine

NPI 1710428958

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Salyer , DO

Family Medicine

NPI 1720048010

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address August 10, 2021

Registered at 1302 S LYNN LN, IDABEL, OK 747456860 (Tel: 5802863993)

NPI Profile Active July 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2021

Registered at 1302 S LYNN LN, IDABEL, OK 747456860 (Tel: 5802863993)

📍
Updated Business Mailing Address July 19, 2021

Registered at 1003 MANCHESTER DR, IDABEL, OK 747457035 (Tel: 5802124411)

👤
Provider Name / Credentials Updated July 19, 2021

Recorded as JENNIFER FULLER, APRN-CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2021

Nurse Practitioner (License #204314 in OK)

🟢
Initial NPI Registration & Enumeration July 19, 2021

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: 1245803345
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2021
Last Update: August 10, 2021
Sole Proprietor: No

Mailing Address

1302 S Lynn Ln

Idabel, OK 747456860

Phone: 5802863993

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.