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

Tamara Ann Fuller, FNP-BC

Individual provider Registered Nurse · NPI 1891420154

Tamara Ann Fuller, FNP-BC is a Nurse Practitioner in South Bend, Indiana. Qualified in 2022, 4 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

100 Navarre Pl Ste 5550
South Bend, IN 46601-1169
Phone: (574) 647-2550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Navarre Pl Ste 6600, South Bend, IN 46601-1173 — (574) 647-8800

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71012996A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28132899A (IN)

Record details

NPI number1891420154
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 20, 2022
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023

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 Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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