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

Mrs. Mary Fuller, DNP

Individual provider Public Health & General Preventive Medicine Physician · NPI 1497364053

Mrs. Mary Fuller, DNP is a Nurse Practitioner in Kewanee, Illinois. Qualified in 2019, 7 years ago. Practices with County of Henry, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2020
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Practice location Address checks out

110 N Burr Blvd
Kewanee, IL 61443-2214
Phone: (309) 852-0197
Fax: (309) 854-5575
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209021513 (IL)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence 209021513 (IL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 209021513 (IL)

Record details

NPI number1497364053
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedJuly 29, 2020
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020

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)
Group practice County Of Henry — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount