MARY N. FULLER APRN NPI 1245775428

NPI Information

  • NPI: 1245775428
  • Provider Name: MARY N. FULLER, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 106 W JOHN ROWAN BLVD STE E
    BARDSTOWN, KY
    ZIP 40004
  • Phone: (502) 350-4799

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NPI Details

Mary N. Fuller, APRN is a family nurse practitioner in Bardstown, KY with 33 years of experience. Mary N. Fuller, APRN NPI is 1245775428. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:1993

The provider's business location address is:

106 W JOHN ROWAN BLVD STE E
BARDSTOWN, KY
ZIP 40004-636
Phone: (502) 350-4799
Fax: (502) 350-4798

The NPI 1245775428 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 12/27/2016 and was last updated on 4/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner3010827KENTUCKYNo
2363LF0000XNurse PractitionerFamily3010827KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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