Individual provider Active NPI

Debra Ann Fulton-Fisette, ARNP

  • Family Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1497907547
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2044462 Issued in FL
Practice address
1883 Linton LN
The Villages, FL 32163-5216
Phone
(904) 514-1416
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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 ARNP2044462 FL Primary

Addresses

Primary practice location

1883 Linton LN
The Villages, FL 32163-5216

Mailing address

1883 Linton LN
The Villages, FL 32163-5216
Phone (904) 514-1416

Other identifiers 1

IdentifierTypeStateIssuer
Y0055OtherFLBCBSFL

Other names 1

  • Debra Ann Quindoza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100506000948 FL Practitioner - Nurse Practitioner 6608904917 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Villages Health System LLC CurrentSince Jul 13, 2020 Accepting new patients
Centerwell Senior Primary Care Vitality Inc PastSince Apr 1, 2022 Accepting new patients
Physical Medicine Specialists, Inc. Past Accepting new patients
Georgia Spine & Pain Centers Past Accepting new patients
Comprehensive Hospitalist Services of Naples LLC Past Accepting new patients
Family Care Partners Urgent Care, LLC Past Accepting new patients
Walgreen Co Past Accepting new patients

Locations

2955 Brownwood Blvd
The Villages, FL 32163
Phone (352) 674-8700

1050 Old Camp Rd
Ste 100
The Villages, FL 32162
Phone (352) 674-1760

280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710

1050 Old Camp Rd
The Villages, FL 32162
Phone (352) 606-4708

1020 Lake Sumter Lndg
The Villages, FL 32162

2955 Brownwood Blvd
Ste 403
The Villages, FL 32163
Phone (352) 674-8700

1400 N US Highway 441
Ste 810
The Villages, FL 32159
Phone (352) 674-8700

Interoperability endpoints

  • Direct secure messaging: debra.fulton-fisette.1@18324.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1497907547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 LINTON LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321635216",
            "telephone_number": "904-514-1416",
            "fax_number": "770-430-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 LINTON LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321635216",
            "telephone_number": "904-514-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON-FISETTE",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2044462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "Y0055",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "QUINDOZA",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.