Doctor profile · Federal record
Dr. Justin Fuller
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Certified Registered Nurse Anesthetist · Mesa, AZ
- NPI 1962176917
- Accepts Medicare
- MIPS 85.4 / 100 · 2023
- 5 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1400 S Dobson RD
Mesa, AZ 852024707
(972) 761-5508
Credentials & registration
- NPI registered
- August 2021 — 5 yrs on file
- Profile last updated
- October 26, 2021
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Arizona #264564 · Arizona #RN185391
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1962176917. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 1 | $22.12 |
By nature of payment
Frequently asked questions
What is Dr. Justin Fuller's medical specialty?
Dr. Justin Fuller practices Certified Registered Nurse Anesthetist in Mesa, AZ.
Where does Dr. Justin Fuller practice?
Dr. Justin Fuller practices at 1400 S Dobson RD, Mesa, AZ 852024707. Office phone: 9727615508.
What is Dr. Justin Fuller's NPI?
Dr. Justin Fuller's National Provider Identifier (NPI) is 1962176917, issued by NPPES.
Does Dr. Justin Fuller accept Medicare assignment?
Yes. Dr. Justin Fuller accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.