Hetter Elizabeth Fuller, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

236499 Issued in AZ

Practice address

2430 W Ray Rd Ste 3
Chandler, AZ 85224-3552

Phone

(480) 626-6318

NPI assigned

Feb 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain and Palliative Associates of ArizonaGroup PAC ID 9638408487, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hetter.fuller.p4@direct.caremorewest.nextgenshare.com

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.

• Pain and Palliative Associates of Arizona

  • Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1538723531
  Medicare reassignment Care Compare group NPD
• Carelon Medical Partners of Arizona, P.C.

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1972879773
  Medicare reassignment NPD
• Valley Geriatric Associates PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1063127306
  NPD
• Carelon Medical Partners of Arizona, P.C.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1730697483

  Family Medicine

  NPD
• Az Regenerative Medicne

  • Chiropractor
  • Phoenix, AZ
  • NPI 1609408194
  NPD (past)

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1386278554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 W CATCLAW ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 W RAY RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243552",
            "telephone_number": "480-626-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "HETTER",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "236499",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "236499",
            "primary": true
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "AZ",
            "license": "RN186134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Y Fuentes
• Ashley Vanessa Fuentes
• Beatriz Fuentes
• Brooklynn Fuhriman, COTA/L
• Leata Fulilangi
• Roger R Fuller Jr., DC
• Sasha Fuller, LMT
• Gary Trent Fullmer, P.A.-C
• Fulton Ranch Dental
• Amy Marie Fulton

• Family Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.