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

Rachael Fuller

Individual provider Nurse Practitioner · NPI 1902513070

Rachael Fuller is a Nurse Practitioner in Jackson, Michigan. Qualified in 2022, 4 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-4800
Fax: (313) 876-1305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2564 Carpenter Rd, Ann Arbor, MI 48108-1175 — (773) 640-2771

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704346116 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704346116 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F09221030 (MI)

Record details

NPI number1902513070
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2022
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

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 W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson