Jaclyn Nicole Fuller, CRNP - Medicare Nurse Practitioner in Alabaster, AL

Jaclyn Nicole Fuller, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Alabaster, Alabama. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gastroenterology Associates Of North-central Alabama Inc and her current practice location is 1010 1st Street North, Suite 112, Alabaster, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 663-1023.

Jaclyn Nicole Fuller is licensed to practice in Alabama (license number 1-108712) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851668271.

Contact Information

Jaclyn Nicole Fuller, CRNP
1010 1st Street North, Suite 112,
Alabaster, AL 35007
(205) 663-1023
(205) 870-7107



Provider's Profile

Full NameJaclyn Nicole Fuller
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location1010 1st Street North, Alabaster, Alabama
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jaclyn Nicole Fuller graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1851668271
  • Provider Enumeration Date: 11/30/2011
  • Last Update Date: 11/30/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7113193368
  • Enrollment ID: I20120110000442

Medical Identifiers

Medical identifiers for Jaclyn Nicole Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851668271NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-108712 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Shelby Baptist Medical CenterAlabaster, ALHospital
Grandview Medical CenterBirmingham, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gastroenterology Associates Of North-central Alabama Inc307259147877

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jaclyn Nicole Fuller allows following entities to bill medicare on her behalf.
Entity NameGastroenterology Associates Of North-central Alabama Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528080595
PECOS PAC ID: 3072591478
Enrollment ID: O20040712001151

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Nicole Fuller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jaclyn Nicole Fuller, CRNP
513 Brookwood Blvd, Suite 401,
Birmingham, AL 35209

Ph: (205) 870-0256
Jaclyn Nicole Fuller, CRNP
1010 1st Street North, Suite 112,
Alabaster, AL 35007

Ph: (205) 663-1023

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Nurse Practitioner Nurses in Alabaster, AL

Stephanie Lynn Woods,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 1st St N, Alabaster, AL 35007
Phone: 205-620-7059    
Jenifer Justice, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 145 Sundance, Alabaster, AL 35007
Phone: 662-640-8804    
Mrs. Amanda T Cabaniss, RN, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1024 1st St N, Central Alabama Oncology, Llc, Alabaster, AL 35007
Phone: 205-664-4051    Fax: 205-664-4054
Brody Weldon, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 1st St N, Alabaster, AL 35007
Phone: 205-620-7004    
Mr. Ricardo Paitz, ACNPC-AG
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 1st St N, Alabaster, AL 35007
Phone: 205-620-8100    
Jennifer Gafnea, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 300 1st St N Ste C, Alabaster, AL 35007
Phone: 205-381-2381    
William Alexander Woodard,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 300 1st Street North Ste. C, Alabaster, AL 35007
Phone: 205-663-5990    

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