Justin Fuller
NPI 1962176917 · Certified Registered Nurse Anesthetist · Mesa, AZ
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Fuller is a Certified Registered Nurse Anesthetist provider in Mesa, AZ (NPI 1962176917).
Provider details
- NPI number
- 1962176917
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 264564 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
4 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
12 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Exam of Colon Using an Endoscope00812 | 12 | $45 |
Typical Medicare-allowed amounts for these services range $45–$45 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$22 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
- 2021-08-03
- Last updated
- 2021-10-26
- Certified
- 2021-10-26
Frequently asked questions
- What is Justin Fuller's NPI number?
- Justin Fuller's National Provider Identifier (NPI) is 1962176917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Fuller's specialty?
- Justin Fuller is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Justin Fuller located?
- Justin Fuller's practice location on file with NPPES is 1400 S Dobson Rd, Mesa, AZ 85202-4707.
- What is Justin Fuller's phone number?
- The practice phone number listed in the NPPES registry for Justin Fuller is (972) 761-5508.
- Does Justin Fuller accept Medicare?
- Justin Fuller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Fuller's NPI active?
- Yes — Justin Fuller's NPI (1962176917) is active in the NPPES registry as of the last update on 2021-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.