Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Desiree Starr Fuller, FNP

Individual provider Family Nurse Practitioner · NPI 1093423352

Desiree Starr Fuller, FNP is a Nurse Practitioner in Watertown, New York. Qualified in 2022, 4 years ago. Practices with Samaritan Medical Center, a 158-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1575 Washington St
Watertown, NY 13601-9371
Phone: (315) 785-4155
Fax: (315) 779-5066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1571 Washington St Ste 107, Watertown, NY 13601-9304 — (315) 782-7330

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 350713 (NY)

Record details

NPI number1093423352
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedNovember 7, 2022
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022
Mailing address1575 Washington St, Watertown, NY 13601-9371

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Samaritan Medical Center — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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