NPIMap

Individual provider Active NPI

Melissa Lynn Fuller, DNP

  • Nurse Practitioner
  • Billings, MT
National Provider Identifier
1831329804
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
100378 Issued in MT
Practice address
2060 Overland Ave Ste 1a
Billings, MT 59102-6439
Phone
(406) 855-2422
Fax
(406) 702-1624
NPI assigned
Jul 23, 2009
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 100378 MT Primary

Addresses

Primary practice location

2060 Overland Ave Ste 1a
Billings, MT 59102-6439

Mailing address

2060 Overland Ave Ste 1a
Billings, MT 59102-6439
Phone (406) 855-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090908000679 MT Practitioner - Nurse Practitioner 2769537125 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2060 Overland Ave
Suite 1a
Billings, MT 59102-6439
Phone (406) 855-2422

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100378MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fuller Family Medicine, PC CurrentSince Sep 12, 2011 Accepting new patients
Vitality Medical, LLC CurrentSince Dec 1, 2020 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1537 41st St W
Billings, MT 59106
Phone (406) 855-2422

2060 Overland Ave
Ste 1A
Billings, MT 59102
Phone (406) 855-2422

4045 Avenue B
Billings, MT 59106
Phone (406) 690-4997

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1831329804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 OVERLAND AVE STE 1A",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026439",
            "telephone_number": "406-855-2422",
            "fax_number": "406-702-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 OVERLAND AVE STE 1A",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026439",
            "telephone_number": "406-855-2422",
            "fax_number": "406-702-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "100378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.