Renee Christine Fuller, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301094316 Issued in MI

Practice address

609 Quarter St
Gladwin, MI 48624-1941

Phone

(989) 246-6371

Fax

(989) 246-6330

NPI assigned

Jun 24, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Renee Christine Rader Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Wayne State University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mymichigan Medical Center GladwinGroup PAC ID 0143262915, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Home Care Home health agency, Midland, MI, CCN 237015
• Mymichigan Medical Center Gladwin Hospital, Gladwin, MI, CCN 231325
• Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
• Mymichigan Medical Center West Branch Hospital, West Branch, MI, CCN 230095
• Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rfuller6443@mymichiganhealth.midirect.net

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.

• Mymichigan Medical Center Gladwin

  • General Practice Physician
  • Gladwin, MI
  • NPI 1881869774
  Medicare reassignment Care Compare group NPD
• Mymichigan Medical Center Gladwin

  • Medicare Defined Swing Bed Hospital Unit
  • Gladwin, MI
  • NPI 1588374813
  NPD

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

• Mymichigan Medical Center Clare

  • General Acute Care Hospital
  • Clare, MI
  • NPI 1568414589
  Care Compare affiliation
• Mymichigan Medical Center Gladwin

  • Critical Access Hospital
  • Gladwin, MI
  • NPI 1235248071
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
  • NPI 1205889490

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1376973149
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • Home Health Agency
  • Midland, MI
  • NPI 1639102163
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1902841414
  Care Compare affiliation
• Mymichigan Medical Center West Branch

  • Family Medicine Physician
  • West Branch, MI
  • NPI 1518418292

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center West Branch

  • General Acute Care Hospital
  • West Branch, MI
  • NPI 1538566765
  Care Compare affiliation

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1972731370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 QUARTER ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241941",
            "telephone_number": "989-246-6371",
            "fax_number": "989-246-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 QUARTER ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241941",
            "telephone_number": "989-246-6371",
            "fax_number": "989-246-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "RENEE",
        "middle_name": "CHRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301094316",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "45676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "RADER",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Doren Fischer, BSW, DP-C
• Janet Flynn, NP
• Kaylynn M Fowler
• Brenda Frehling, LBSW
• Caitlin Marie Frost, BS
• Isabel Leah Fults, CAADC-DP
• Andrew Joseph Giacona
• Gladwin County Jail
• Gladwin Dental Care, P.C.
• Gladwin Family Care Center

• Family Medicine Physician in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.