Carissa Sharnetta Fuller, AGACNP
NPI 1407070501ActiveIndividual· Nurse Practitioner, Adult Health· Greenville, NC
Nurse Practitioner, Adult Health (AGACNP) with Main Line Healthcare and 1 other group, practicing in Greenville, North Carolina. Medicare paid $35,062 for services to 185 patients in 2024. Lists Ecu Health Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1407070501 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP |
| Sole proprietor | No |
| NPI issued | Apr 12, 2007 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 5023608 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NC); Practitioner - Nurse Practitioner (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 185 |
|---|---|
| Services billed | 447 across 7 procedure codes |
| Paid by Medicare | $35,062 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Main Line HealthcareWynewood, PA · 1,184 clinicians
- Vidant Medical Group LLCAhoskie, NC · 1,012 clinicians
Hospital affiliations
- Ecu Health Medical CenterGreenville, NC
- Main Line Hospital LankenauWynnewood, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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