Julie A Fuller, RN, MSN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

4704259711 Issued in MI

Practice address

1457 N M 52 Ste 2
Owosso, MI 48867-1519

Phone

(989) 729-4292

Fax

(989) 725-9012

NPI assigned

Jun 19, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Wayne State University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Master of Science, Master of Science - Nursing, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jfuller1040641@direct.hfhs.org

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.

• Wa Foote Memorial Hospital, Inc

  • Nurse Practitioner
  • Jackson, MI
  • NPI 1629000708
  Medicare reassignment Care Compare group NPD
• Hurley Medical Center

  • Obstetrics & Gynecology Physician
  • Flint, MI
  • NPI 1982630844
  Medicare reassignment NPD
• Hurley Medical Center

  • Certified Registered Nurse Anesthetist
  • Flint, MI
  • NPI 1558397653
  NPD
• Hurley Medical Center

  • Plastic and Reconstructive Surgery Physician
  • Flint, MI
  • NPI 1689345761
  NPD
• Hurley Medical Center

  • Emergency Medicine Physician
  • Flint, MI
  • NPI 1831140367
  NPD
• Pathology Associates Inc PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Flint, MI
  • NPI 1922116094
  NPD
• W.a. Foote Memorial Hospital, Inc

  • Nurse Practitioner
  • Jackson, MI
  • NPI 1366988347

  Advanced Practice Midwife

  NPD
• W.a. Foote Memorial Hospital, Inc

  • Physician Assistant
  • Jackson, MI
  • NPI 1538606348
  NPD
• Hurley Medical Center

  • Surgery Physician
  • Flint, MI
  • NPI 1659323384
  NPD (past)
• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532
  NPD (past)
• Wa Foote Memorial Hospital, Inc

  • Emergency Medicine Physician
  • Jackson, MI
  • NPI 1265487722
  NPD (past)

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1306462908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 N M 52 STE 2",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671519",
            "telephone_number": "989-729-4292",
            "fax_number": "989-725-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 N M 52 STE 2",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671519",
            "telephone_number": "989-729-4292",
            "fax_number": "989-725-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "RN, MSN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704259711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306462908",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfuller104572@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "1 Hurley Plz # 2N",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485035902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cadence Anne Frye
• Ira Stanley Frye, MD
• Jan Frye
• Nichole Suzanne Frye
• Dawn Fuller
• Tamara Sue Fuller, OT
• Gail Kiacz LMSW LLC
• Ajaykumar J Gajera, RPH
• Maria Donna Galang-Qahwash, DO
• Brittany Garcia

• Advanced Practice Midwife in Owosso, MI
• Providers in Owosso, MI by specialty
• Advanced Practice Midwife in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.