Mrs. Mary Fuller
DNP | Nurse Practitioner | 6+ years Exp
110 N Burr Blvd, Kewanee
Illinois, 61443-2214
309-852-0197
Mrs. Mary Fuller is a Kewanee, Illinois based nurse practitioner with 6 years of experience in Nurse Practitioner. She completed her graduation in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Mary Fuller is 209021513 in Illinois. Her current practice location is 110 N Burr Blvd, Kewanee. Patients can reach her at 309-852-0197 or can fax her at 309-854-5575. Mrs. Mary Fuller is DNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1497364053.
Mrs. Mary Fuller has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Mary Fuller speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Mary Fuller |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | DNP |
| Experience: | 6+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 110 N Burr Blvd, Kewanee,
Illinois, 61443-2214 |
| Phone: | 309-852-0197 |
| Fax: | 309-854-5575 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4082033642 |
| Enrollment ID: | I20200930002898 |
| NPI Number: | 1497364053 |
| NPI Enumeration Date: | 29 Jul, 2020 |
| NPI Last Update On: | 04 Aug, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Mary Fuller are as mentioned below.
| License Number | Specialization | State | Status | |
| 209021513 | | Illinois | Primary | |
| 209021513 | Preventive Medicine | Illinois | Secondary | |
| 209021513 | Primary Care | Illinois | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Mary Fuller is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| County Of Henry (5193828556) | 4 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Mary Fuller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 366006568001 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Mary Fuller
110 N Burr Blvd,
Kewanee, Illinois |
| Zip: | 61443-2214 |
| Phone Number: | 309-852-0197 |
| Fax Number: | 309-854-5575 |
Patients can reach Mrs. Mary Fuller at
110 N Burr Blvd, Kewanee, Illinois or can
call to book an appointment on 309-852-0197.
Comments/ Reviews:
Patients can read all the reviews posted for Mrs. Mary Fuller below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mrs. Mary Fuller. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.