Tisa Mitchell-Fullwood, FNP
NPI 1053832717 · Family Nurse Practitioner · Cary, NC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tisa Mitchell-Fullwood, FNP is a Family Nurse Practitioner provider in Cary, NC (NPI 1053832717).
Provider details
- NPI number
- 1053832717
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 5010016 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
8 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$422 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-07-03
- Last updated
- 2022-08-31
- Certified
- 2022-08-31
Frequently asked questions
- What is Tisa Mitchell-Fullwood's NPI number?
- Tisa Mitchell-Fullwood's National Provider Identifier (NPI) is 1053832717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tisa Mitchell-Fullwood's specialty?
- Tisa Mitchell-Fullwood is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tisa Mitchell-Fullwood located?
- Tisa Mitchell-Fullwood's practice location on file with NPPES is 2994 Kildaire Farm Rd, Cary, NC 27518-9614.
- What is Tisa Mitchell-Fullwood's phone number?
- The practice phone number listed in the NPPES registry for Tisa Mitchell-Fullwood is (919) 387-1075.
- Does Tisa Mitchell-Fullwood accept Medicare?
- Tisa Mitchell-Fullwood is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tisa Mitchell-Fullwood's NPI active?
- Yes — Tisa Mitchell-Fullwood's NPI (1053832717) is active in the NPPES registry as of the last update on 2022-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.