Individual provider Active NPI

Devon A Fuller, APRN, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1174355002
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1169592 Issued in TX
Practice address
6500 N Mopac Expy Ste 200
Austin, TX 78731-3282
Phone
(512) 458-8400
Fax
(512) 458-8593
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1169592 TX Primary

Addresses

Primary practice location

6500 N Mopac Expy Ste 200
Austin, TX 78731-3282

Mailing address

110 Deer Ridge Dr
Round Rock, TX 78681-5514
Phone (512) 458-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20241107002231 TX Practitioner - Nurse Practitioner 4789118183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Diabetes and Endocrinology, P.a.Group PAC ID 3577459031, 25 clinicians

Practice addresses (Care Compare)

6500 N Mopac Expressway
BLDG 3 Suite 200
Austin, TX 78731-4309
Phone (512) 458-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1169592TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Diabetes and Endocrinology PA CurrentSince Jul 15, 2025 Accepting new patients
Texas Diabetes and Endocrinology, P.a. CurrentSince Jul 15, 2025 Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients

Locations

6500 N Mopac Expy
Ste 200
Austin, TX 78731
Phone (512) 458-8400

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

5000 Davis Ln
Ste 200
Austin, TX 78749
Phone (512) 338-4500

5000 Davis Ln
Austin, TX 78749

6500 N Mopac Expy
Bldg 3
Austin, TX 78731
Phone (512) 458-8400

110 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 458-8400

Interoperability endpoints

  • Direct secure messaging: devon.fuller@hca8.eclinicaldirectplus.com
  • Direct secure messaging: 21202-fuller-devon@direct.leadingreach.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1174355002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DEER RIDGE DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815514",
            "telephone_number": "512-458-8400",
            "fax_number": "512-458-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N MOPAC EXPY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313282",
            "telephone_number": "512-458-8400",
            "fax_number": "512-458-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "DEVON",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1169592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.