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

Melody Rene Fuller

Individual provider Nurse Practitioner · NPI 1639786932

Melody Rene Fuller is a Nurse Practitioner in Rock Hill, South Carolina. Qualified in 2019, 7 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Licensed in
SC
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

744 Arden Ln Ste 200
Rock Hill, SC 29732-3287
Phone: (803) 787-6453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 Wo Ezell Blvd, Spartanburg, SC 29301-2665 — (864) 719-4220

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 23579 (SC)
Nurse Practitioner Taxonomy 363L00000X · Licence 23579 (SC)

Record details

NPI number1639786932
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2020
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rock Hill