Annette M. Fuller, PMPNP-BC, MSN, CNL

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209027763 Issued in IL

Practice address

1655 N Arlington Heights Rd Ste 200
Arlington Heights, IL 60004-3982

Phone

(847) 342-2020

NPI assigned

May 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1427795228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 N ARLINGTON HEIGHTS RD STE 200W",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043977",
            "telephone_number": "773-263-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N ARLINGTON HEIGHTS RD STE 200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043982",
            "telephone_number": "847-342-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4840 N Marine Dr",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606407860",
            "country_code": "US",
            "telephone_number": "773-977-4031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Richards St",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604332745",
            "country_code": "US",
            "telephone_number": "312-554-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ANNETTE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "PMPNP-BC, MSN, CNL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209027763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Fruehling, PH.D
• Jacquelyn A Frutiger
• Jessica Fuchs
• Judith Fudala, LCPC
• Melanie B Fukui, MD
• Lauren Fuller
• Alexandra Carrington Fulreader, DDS
• Carolynne R. Funk, PSY.D.
• Jessica L Funk, PSYD
• G and a Clinics

• Psychiatric/Mental Health Nurse Practitioner in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.