Jill Marie Fuller, MSN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP009500 Issued in PA

Practice address

1001 State St Ste 606
Erie, PA 16501-1826

Phone

(814) 454-3811

Fax

(814) 454-3422

NPI assigned

Aug 19, 2006

Last updated

Aug 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennsylvania Western UniversityGroup PAC ID 8729585948, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jill.fuller.1@19587.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pennsylvania Western University

  • Infectious Disease Physician
  • Clarion, PA
  • NPI 1033919097

  Family

  Medicare reassignment Care Compare group NPD
• Ahn Emergency Group of Erie County LTD.

  • Emergency Medicine Physician
  • Erie, PA
  • NPI 1336564798
  Medicare reassignment NPD
• Ahn Observation Group LLC

  • Emergency Medicine Physician
  • Jefferson Hills, PA
  • NPI 1437814696
  Medicare reassignment NPD
• St Vincent Medical Education and Research Institute Inc

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1902881477
  Medicare reassignment
• Saint Vincent Medical Education and Research Institute

  dba Albion Family Practice

  • Family Medicine Physician
  • Albion, PA
  • NPI 1558462259
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1033223631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 STATE ST STE 606",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011826",
            "telephone_number": "814-454-3811",
            "fax_number": "814-454-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 STATE ST STE 606",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011826",
            "telephone_number": "814-454-3811",
            "fax_number": "814-454-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "MSN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009500",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Fuhrman, PA
• Melissa Ann Fuhrman, CRNP
• Ella Fulford
• Gina M Fulgenzio, PA-C
• Saundra Renee Fulgham, LSW
• Katelyn Fuller, CRNA
• Kelsey Elizabeth Fuller
• Functional Life Consulting, LLC
• Megan Elizabeth Furman
• Charles M Furr, MD

• Family Nurse Practitioner in Erie, PA
• Providers in Erie, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.