Keydella Fuller, APN - Medicare in Fernandina Beach, FL

Keydella Fuller, APN is a medicare enrolled "Nurse Practitioner - Family" in Fernandina Beach, Florida. Her current practice location is 910 S 8th St Ste 205, Fernandina Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 895-6433.

Keydella Fuller is licensed to practice in Florida (license number 11012620) 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 1053855809.

Contact Information

Keydella Fuller, APN
910 S 8th St Ste 205,
Fernandina Beach, FL 32034-3771
(904) 895-6433
(866) 422-4441

Map and Direction




Provider's Profile

Full NameKeydella Fuller
GenderFemale
Speciality
Experience Years
Location910 S 8th St Ste 205, Fernandina Beach, Florida
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:
  • Keydella Fuller attended and graduated from in
  NPI Data:
  • NPI Number: 1053855809
  • Provider Enumeration Date: 12/13/2016
  • Last Update Date: 01/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Keydella Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053855809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ00692900 (New Jersey)Secondary
363LF0000XNurse Practitioner - Family 11012620 (Florida)Primary

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. Keydella 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
Keydella Fuller, APN
21 Angela Dr, Ste 202,
Old Bridge, NJ 08857

Ph: (732) 908-4522
Keydella Fuller, APN
910 S 8th St Ste 205,
Fernandina Beach, FL 32034-3771

Ph: (904) 895-6433

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.