Doctor profile · Federal record
Dr. Tisa Mitchell-Fullwood, FNP
Family Nurse Practitioner · Cary, NC
- NPI 1053832717
- 9 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2994 Kildaire Farm RD
Cary, NC 275189614
(919) 387-1075
Credentials & registration
- NPI registered
- July 2017 — 9 yrs on file
- Profile last updated
- August 31, 2022
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- North Carolina #5010016
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053832717. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
35
Distinct HCPCS
3
Medicare allowed
$2,315
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 13 | 13 | $73 | |
87426 |
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 11 | 11 | $35 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $90 |
In context: peer comparison
Among 31 peers in this city , average services per provider: 71. This provider delivers 0.5× the peer median.Open Payments
Industry payments received
All-time total
$422
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 2 | $306.69 | |
| Lilly USA, LLC | 1 | $115.43 |
By nature of payment
Frequently asked questions
What is Dr. Tisa Mitchell-Fullwood's medical specialty?
Dr. Tisa Mitchell-Fullwood practices Family Nurse Practitioner in Cary, NC.
Where does Dr. Tisa Mitchell-Fullwood practice?
Dr. Tisa Mitchell-Fullwood practices at 2994 Kildaire Farm RD, Cary, NC 275189614. Office phone: 9193871075.
What is Dr. Tisa Mitchell-Fullwood's NPI?
Dr. Tisa Mitchell-Fullwood's National Provider Identifier (NPI) is 1053832717, issued by NPPES.
What procedures does Dr. Tisa Mitchell-Fullwood commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS 87426); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.