Michael Fuller, MHPS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

2076-0624 Issued in TX

Practice address

6421 Camp Bowie Blvd Ste 308
Fort Worth, TX 76116-5421

Phone

(682) 277-9994

Fax

(833) 915-1751

NPI assigned

Sep 30, 2024

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• A Nation of Hope

  • Peer Specialist
  • Fort Worth, TX
  • NPI 1235995580
  NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1063230878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 CAMP BOWIE BLVD STE 308",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165421",
            "telephone_number": "682-277-9994",
            "fax_number": "833-915-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 CAMP BOWIE BLVD STE 308",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165421",
            "telephone_number": "682-277-9994",
            "fax_number": "833-915-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MHPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "TX",
            "license": "2076-0624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Wyatt Fuller, M.D.
• Dale Fuller, FNP
• Danlin Jenny Fuller, MD
• Kelsey Fuller, PT, DPT
• Melinda Fuller
• Stephanie Rose Fuller, D.O.
• Anita Lynne Fulmer, LCDC
• Kristi Fulton
• Richard D Fulton, LPC
• Shaundra Denise Fulton, NP

• Peer Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Peer Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.