Rachael Ann Fuller, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0028373 Issued in OH

Practice address

81 Ashwood Dr
Tiffin, OH 44883-2546

Phone

(419) 443-8505

NPI assigned

Feb 8, 2021

Last updated

Feb 8, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OH

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CD Sears MD IncGroup PAC ID 8527090455, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - Tiffin Hospital Hospital, Tiffin, OH, CCN 360089
• Mercy Health - Willard Hospital Hospital, Willard, OH, CCN 361310

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• CD Sears MD Inc

  • Internal Medicine Physician
  • Tiffin, OH
  • NPI 1629294368
  Medicare reassignment Care Compare group NPD

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

• Mercy Health - Tiffin Hospital LLC

  dba Harness Health Pharmacy

  • General Acute Care Hospital
  • Tiffin, OH
  • NPI 1316994734
  Care Compare affiliation
• Mercy Health - Willard Hospital LLC

  dba Mercy Health - Willard Hospital

  • Critical Access Hospital
  • Willard, OH
  • NPI 1790731016
  Care Compare affiliation

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1861084246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GROSS ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 ASHWOOD DR",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832546",
            "telephone_number": "419-443-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "RACHAEL",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0028373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Chandler Frederick, CNP
• Kayleen Fretz
• Savanna Lynn Frumkin, QBHS
• Rachel E Fruth, NP
• Devin Erika Fry, PTA
• Morgan Leann Fultz
• Future Horizons of Tiffin LLC
• Brianna Gaietto, COTA/L
• Cassandra Lynn Gaietto, M.A. CCC-SLP
• Brandon James Gallimore, DAT, AT, ATC

• Family Nurse Practitioner in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.