Kelly Fuller, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11000259 Issued in FL

Practice address

1007 Pathfinder Way Ste 120
Rockledge, FL 32955-3243

Phone

(321) 507-4033

NPI assigned

Jan 9, 2019

Last updated

Jan 2, 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 1

Addresses

Other names 1

• Kelly Klinger Former name

Medicare fee-for-service enrollment

Enrolled in FL

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clear As a Bell Psychiatric Providers, IncGroup PAC ID 8729436464, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Clear As a Bell Psychiatric Providers, Inc

  • Psychiatry Physician
  • Rockledge, FL
  • NPI 1053191056
  Medicare reassignment Care Compare group NPD
• Circles of Care, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Melbourne, FL
  • NPI 1215345954
  Medicare reassignment
• Circles of Care, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Titusville, FL
  • NPI 1811907322
  NPD

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1144793407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 PATHFINDER WAY STE 120",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553243",
            "telephone_number": "321-507-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 PATHFINDER WAY STE 120",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553243",
            "telephone_number": "321-507-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "KELLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11000259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "KLINGER",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Freeman, LMHC
• Emma Frew
• Brenda L Friend, SLP
• Garry Fuller, MD
• Ivette Yolanda Fuller
• Functionally Fit Chiropractic, Inc.
• Functionally Fit Fitness Center, Inc
• Fyzical Therapy & Balance Center Rockledge-Viera (Fyzical Therapy and Balance Center Rockledge-Viera)
• Alana J Gainer, APRN
• Angela Michelle Gallagher, REGISTERED DIETITIAN

• Psychiatric/Mental Health Nurse Practitioner in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.