Kimberly Fuller, MSN, ACNP - BS
NPI 1083860324ActiveIndividual· Nurse Practitioner, Acute Care· Vicksburg, MS
Nurse Practitioner, Acute Care (MSN, ACNP - BS) with Quad Intermed Company LLC, practicing in Vicksburg, Mississippi. 302 Medicare patients in 2024, $44,332 paid; nearly all of their 1,058 Part D prescriptions were generic (91%). Lists Merit Health River Region as a hospital affiliation.
Overview
| NPI | 1083860324 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, ACNP - BS |
| Sole proprietor | No |
| NPI issued | Aug 18, 2008 |
| Last updated in NPPES | Mar 16, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | R853474 | MS |
| Emergency Medicine | 207P00000X | R853474 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 302 |
|---|---|
| Services billed | 2,664 across 84 procedure codes |
| Paid by Medicare | $44,332 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,058 · 1,502 30-day fills |
|---|---|
| Patients | 328 |
| Total drug cost | $37,509 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Quad Intermed Company LLCLaurel, MS · 44 clinicians
Hospital affiliation
- Merit Health River RegionVicksburg, MS
Other facilities
- Adoration Home HealthHome health agency · Vicksburg, MS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other acute care nurse practitioners in Vicksburg
- 1962151308
- 1558302992