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Active NPI 1962974469 Individual Practitioner Female Practitioner

Nino Fuller , AGACNP-BC

Nurse Practitioner • Henderson, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nino Fuller, AGACNP-BC is a certified Nurse Practitioner practicing in Henderson, TX. With approximately 8 years of clinical experience since completing medical education in 2018, Nino Fuller delivers high-quality medical care to the local community at 300 WILSON ST.

Nino Fuller maintains professional affiliations with Etmc Physician Group, Inc., Hospitalist Medicine Physicians Of Texas Pllc, North Texas Physician Services, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

300 Wilson St

Henderson, TX 756525956

Telephone 9036556536
Associated Practice Facility / Clinic
🏢 Henderson Memorial Hospital Facility NPI 1205880424

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Henderson, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs +2.3 yrs vs City Avg
City Avg: 5.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Henderson, TX (4894 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fuller (8 Years) 8 Yrs
Henderson Specialty Average (5.7 Years) 5.7 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
96 93 $348.00 $106.04
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
23 21 $50.00 $6.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
18 18 $1026.56 $142.04

Medical Specialties & State Licenses

CMS Verified: 2022-11-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP140425

(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 VA 0024180028

(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 - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License TX AP140425

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License GA GAA-NP000340

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License TX 866207

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License VA 0024180028

Definition to come...

Hospital & Practice Group Affiliations

North Texas Physician Services, Pllc

700 E Marshall Ave, Longview, TX 756015580

Phone: 9033152000

Hospitalist Medicine Physicians Of Texas Pllc

800 E Dawson St, Tyler, TX 757012036

Phone: 9035938441

Etmc Physician Group, Inc.

18118 Fm 344, Flint, TX 757626010

Phone: 9038253292

Etmc Physician Group, Inc.

2000 S Palestine St, Athens, TX 757515610

Phone: 9036761000

Etmc Physician Group, Inc.

300 Wilson St, Henderson, TX 756525956

Phone: 9036556536

Practice Associates & Co-Workers

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

7 Associated Practitioners
Mica Norman , PMHNP-BC, FNP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053953794

Psychiatric-Mental Health Nurse Practitioner (Board Certified), Family Nurse Practitioner (Certified)

NPI 1194882241

Doctor of Medicine (M.D.)

NPI 1477512820

Doctor of Medicine (M.D.)

Dr. Mark Hackbarth , MD

Anesthesiology - Addiction Medicine

NPI 1629071527

Doctor of Medicine (M.D.)

Dr. Joseph Carver , DO

Family Medicine

NPI 1720408909

Doctor of Osteopathic Medicine (D.O.)

Nicole Stanley , NP

Nurse Practitioner - Family

NPI 1730732942

Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location November 30, 2022

Registered at 300 WILSON ST, HENDERSON, TX 756525956 (Tel: 9036556536)

📍
Updated Business Mailing Address November 30, 2022

Registered at 300 WILSON ST, HENDERSON, TX 756525956 (Tel: 9036556536)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2021

Nurse Practitioner (License #0024180028 in VA)

📍
Updated Practice Location September 01, 2021

Registered at 743 SPRING ST NE, GAINESVILLE, GA 305013715 (Tel: 7702199000)

📍
Updated Business Mailing Address September 01, 2021

Registered at PO BOX 742616, ATLANTA, GA 303742616 (Tel: 7702198420)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2021

Nurse Practitioner (License #GAA-NP000340 in GA)

NPI Profile Active December 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2018

Registered at 23914 COUNTY ROAD 3313, CHANDLER, TX 75758 (Tel: 6072261012)

📍
Updated Business Mailing Address December 20, 2018

Registered at 23914 COUNTY ROAD 3313, CHANDLER, TX 75758 (Tel: 6072261012)

👤
Provider Name / Credentials Updated December 20, 2018

Recorded as NINO FULLER, AGACNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2018

Nurse Practitioner (License #866207 in TX)

🟢
Initial NPI Registration & Enumeration December 20, 2018

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: 1962974469
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2018
Last Update: November 30, 2022
Sole Proprietor: No

Mailing Address

300 Wilson St

Henderson, TX 756525956

Phone: 9036556536

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.