Charlotte Michelle Fuller, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP09163 Issued in LA

Practice address

4430 Highway 22
Mandeville, LA 70471-3310

Phone

(985) 626-3470

Fax

(985) 674-5377

NPI assigned

Feb 4, 2017

Last updated

Jun 1, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

In and Out Urgent Care of Metairie, LLCGroup PAC ID 7214209964, 10 clinicians

In and Out Urgent Care Covington, LLCGroup PAC ID 0143574426, 15 clinicians

Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Northshore Redi-Med LLCGroup PAC ID 2163609660, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cfuller868533@direct.ochsner.org
• FHIR API: https://fhir4.healow.com/fhir/r4/DEBJBA/Endpoint/DEBJBA

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.

• In and Out Urgent Care Covington, LLC

  dba In and Out Urgent Care Covington

  • Urgent Care Clinic/Center
  • Covington, LA
  • NPI 1366926040
  Medicare reassignment Care Compare group NPD
• In and Out Urgent Care of Metairie, LLC

  • Urgent Care Clinic/Center
  • Metairie, LA
  • NPI 1508396581
  Medicare reassignment Care Compare group NPD
• Northshore Redi-Med LLC

  dba Redimed

  • Family Medicine Physician
  • Mandeville, LA
  • NPI 1295050599
  Medicare reassignment Care Compare group NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment Care Compare group NPD
• In and Out Urgent Care, LLC

  • Urgent Care Clinic/Center
  • New Orleans, LA
  • NPI 1851725154
  Medicare reassignment NPD
• North Oaks Medical Center, LLC

  dba North Oaks Hospital Medicine

  • Hospitalist Physician
  • Hammond, LA
  • NPI 1962709501
  NPD
• North Oaks Medical Center, LLC

  dba North Oaks Med Ctr Professional Billing

  • General Acute Care Hospital
  • Hammond, LA
  • NPI 1972630705
  NPD
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  dba Ochsner CHRISTUS Health Center - Lake Area

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1174095707
  NPD
• Ochsner Clinic LLC

  dba Ochsner Urgent Care & Occupational Health

  • Internal Medicine Physician
  • Denham Springs, LA
  • NPI 1114678083
  NPD (past)
• Ochsner Clinic LLC

  dba Ochsner Urgent Care - Lakeview

  • General Practice Physician
  • New Orleans, LA
  • NPI 1467991067
  NPD (past)
• Ochsner Clinic LLC

  dba Ochsner Urgent Care & Occupational Health - Sullivan

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1760144026
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Tammany Parish Hospital Service District No 1

  dba St Tammany Physicians Network

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582

  Hospital

  Care Compare affiliation
• St Tammany Parish Hospital Service District No 1

  dba Northlake Pulmonary Associates at St Tammany Parish Hospital

  • Pulmonary Disease Physician
  • Covington, LA
  • NPI 1285285874

  Hospital

  Care Compare affiliation
• St. Tammany Parish Hospital Service District No 1

  dba St. Tammany Parish Hospital

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1598798597
  Care Compare affiliation

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

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1033657580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 HIGHWAY 22",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713310",
            "telephone_number": "985-626-3470",
            "fax_number": "985-674-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 HIGHWAY 22",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713310",
            "telephone_number": "985-626-3470",
            "fax_number": "985-674-5377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15790 Paul Vega Md Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031436",
            "country_code": "US",
            "telephone_number": "985-230-1683",
            "fax_number": "985-230-6652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "CHARLOTTE",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-04",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur J. Franz III, O.D.
• Fred a. Miller, DC, LLC (Doctors Chiropractic Group)
• Richard P Frederickson02/
• Carol Freeman, PHD
• Tara Freeman, BCBA
• Larkin Ellison Fultz, LCSW
• Fussell Health, LLC
• Catherine Bordelon Fussell
• Edward Martin Gaber, M.D.
• Sheraden Elizabeth Gagliano, RDN

• Family Nurse Practitioner in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.