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

Jill Marie Fuller, MSN, CNP

Individual provider Nurse Practitioner · NPI 1033223631

Jill Marie Fuller, MSN, CNP is a Nurse Practitioner in Erie, Pennsylvania. Qualified in 2007, 19 years ago. Practices with Pennsylvania Western University, a 2-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
19
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1001 State St Ste 606
Erie, PA 16501-1826
Phone: (814) 454-3811
Fax: (814) 454-3422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP009500 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP009500 (PA)

Record details

NPI number1033223631
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , CNP
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Pennsylvania Western University — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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