Jeremy Wayne Fuller, NP-C
NPI 1285221440ActiveIndividual· Nurse Practitioner, Family· Santa Rosa, CA
Nurse Practitioner, Family (NP-C) with Evolve Restorative Center, practicing in Santa Rosa, California. Part D covered 2,883 prescriptions written in 2024, 84% of them generic. Mml US, Inc. was the largest of 2 companies reporting payments in 2025, $48.23 in all, mostly food and beverage. Lists Healdsburg Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1285221440 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | No |
| NPI issued | Dec 22, 2020 |
| Last updated in NPPES | Feb 24, 2025 |
| Certified by provider | Feb 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95015009 | CA |
| Nurse Practitioner | 363L00000X | 95015009 | CA |
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 (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 2,883 · 5,231 30-day fills |
|---|---|
| Patients | 212 |
| Total drug cost | $321,650 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Evolve Restorative CenterSonoma, CA · 9 clinicians
Hospital affiliations
- Healdsburg HospitalHealdsburg, CA
- Providence Santa Rosa Memorial HospitalSanta Rosa, CA
- Sutter Santa Rosa Regional HospitalSanta Rosa, CA
Industry payments (Open Payments)
- 2025$48.23 · 2 payments from 2 companies
- 2024$168.92 · 7 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mml US, Inc. | $31.54 | 1 |
| Medtronic, Inc. | $16.69 | 1 |
What the 2025 payments were for
- Food and Beverage$48.23 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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