Sherri Fuller, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R1104617 Issued in MN

Practice address

303 E Nicollet Blvd
Suite 200
Burnsville, MN 55337-4522

Phone

(952) 460-4000

Fax

(952) 460-4000

NPI assigned

Jul 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fairview Clinics

  dba Fairview Clinics-Hiawatha

  • Primary Care Clinic/Center
  • Minneapolis, MN
  • NPI 1346432218
  Medicare reassignment NPD
• Fairview Clinics

  dba Fairview Clinics-Farmington

  • Primary Care Clinic/Center
  • Farmington, MN
  • NPI 1043491749
  NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1053346791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E NICOLLET BLVD",
            "address_2": "SUITE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374522",
            "telephone_number": "952-460-4000",
            "fax_number": "952-460-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E NICOLLET BLVD",
            "address_2": "SUITE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374522",
            "telephone_number": "952-460-4000",
            "fax_number": "952-460-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "SHERRI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "R1104617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126518100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kora Nicole Frovik
• Kristina Marie Fruechtl, D.C.
• Derek Fruetel, D.C.
• Ian C Frykman, DDS
• Full Circle Therapy
• Cassidy Marie Furey, APRN, CNP
• Anne Marie Furuseth, M.D.
• Mara Jane Fusco, LPCC
• G Global, LLC
• Ga Transporters LLC

• Adult Health Nurse Practitioner in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Adult Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.