Jill Elizabeth Fuller, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5403 Issued in CT

Practice address

1022 Storrs Rd
Storrs Mansfield, CT 06268-2633

Phone

(860) 429-9321

Fax

(860) 429-4775

NPI assigned

Oct 30, 2008

Sex

Female

Sole proprietor

No

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.

• Hartford Healthcare Medical Group, Inc

  • Surgery Physician
  • Wethersfield, CT
  • NPI 1043561301

  CT

  Medicare reassignment Care Compare group NPD
• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053

  CT, Family

  Medicare reassignment NPD
• Hartford Healthcare Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Farmington, CT
  • NPI 1720140221
  NPD (past)
• Lansing Cardiovascular Consultants PC

  • Nuclear Cardiology Physician
  • Okemos, MI
  • NPI 1548301880
  NPD (past)
• Next Generation Family Practice, PLLC

  • Family Medicine Physician
  • Lansing, MI
  • NPI 1225085079
  NPD (past)

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

• Hartford Healthcare at Home, Inc

  • Home Health Agency
  • Wethersfield, CT
  • NPI 1073529566
  Care Compare affiliation
• Windham Community Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Willimantic, CT
  • NPI 1023191467

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hartford Healthcare Medical Group Inc 257 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
• Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021

Medicare fee-for-service enrollment

Enrolled in CT

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jill.fuller@xdr.hhchealthdirect.org
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2013.

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1154574416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 STORRS RD",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062682633",
            "telephone_number": "860-429-9321",
            "fax_number": "860-429-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 STORRS RD",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062682633",
            "telephone_number": "860-429-9321",
            "fax_number": "860-429-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JILL",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Highlands Health District
• Bruce Nicholas Elliott, PT
• C. John Ferreri, RPH
• Janelle Rae Francisco, M.S., ATC
• Ruth Ettenberg Freeman, LCSW
• Allen Martin Goldstein, O.D.
• Catherine Griffin, PT
• Hearts and Hands Therapy Services CT, Inc.
• Morgan A Hills II, PT
• Holly Monroe Consulting Group LLC

• All providers in Storrs Mansfield, CT
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.