Doctor profile · Federal record
Dr. Carissa Fuller, CRNP
Adult Health Nurse Practitioner (CMS: Nurse Practitioner) · Gerontology Nurse Practitioner · Philadelphia, PA
- NPI 1407070501
- Accepts Medicare
- 20 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3401 N Broad St
Philadelphia, PA 191405103
(215) 707-1800
fax (215) 707-3644 - Mailing address
-
3500 N Broad St Rm 1A
Philadelphia, PA 191404106
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- February 15, 2023
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 363LA2200X — NUCC code
- State licenses (2)
- Pennsylvania #SP009193 · Delaware #LP0000308
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1407070501. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
193
Distinct HCPCS
5
Medicare allowed
$15,128
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99497 |
Advance care planning, first 30 minutes | 71 | 46 | $66 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 47 | 42 | $114 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 41 | 30 | $69 | |
99498 |
Advance care planning, each additional 30 minutes | 22 | 17 | $62 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 12 | 12 | $73 |
In context: peer comparison
Among 83 peers in this city , average services per provider: 72. This provider delivers 2.7× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Carissa Fuller's medical specialty?
Dr. Carissa Fuller practices Adult Health Nurse Practitioner in Philadelphia, PA.
Where does Dr. Carissa Fuller practice?
Dr. Carissa Fuller practices at 3401 N Broad St, Philadelphia, PA 191405103. Office phone: 2157071800.
What is Dr. Carissa Fuller's NPI?
Dr. Carissa Fuller's National Provider Identifier (NPI) is 1407070501, issued by NPPES.
Does Dr. Carissa Fuller accept Medicare assignment?
Yes. Dr. Carissa Fuller accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Carissa Fuller commonly perform?
Top Medicare-reported procedures in 2023: Advance care planning (HCPCS 99497); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.