Douglas Fullerton
NPI 1174937304 · Certified Registered Nurse Anesthetist · Miami, FL
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Fullerton is a Certified Registered Nurse Anesthetist provider in Miami, FL (NPI 1174937304).
Provider details
- NPI number
- 1174937304
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 608702 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
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
12 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.
$23 across 1 record (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
- 2014-06-16
- Last updated
- 2021-11-17
- Certified
- 2021-11-17
Frequently asked questions
- What is Douglas Fullerton's NPI number?
- Douglas Fullerton's National Provider Identifier (NPI) is 1174937304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Fullerton's specialty?
- Douglas Fullerton is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Douglas Fullerton located?
- Douglas Fullerton's practice location on file with NPPES is 1400 Nw 12th Ave, Miami, FL 33136-1003.
- What is Douglas Fullerton's phone number?
- The practice phone number listed in the NPPES registry for Douglas Fullerton is (347) 875-0165.
- Does Douglas Fullerton accept Medicare?
- Douglas Fullerton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Fullerton's NPI active?
- Yes — Douglas Fullerton's NPI (1174937304) is active in the NPPES registry as of the last update on 2021-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.