NPPES file of Aug 9, 2026

Carissa Sharnetta Fuller, CRNP

Adult Health Nurse Practitioner · Philadelphia, PA

Carissa Sharnetta Fuller, CRNP is an adult health nurse practitioner with a practice address in Philadelphia, Pennsylvania, and NPI 1407070501, issued on Apr 12, 2007. Check the license (Pennsylvania SP009193, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1407070501
Name
Carissa Sharnetta Fuller
Credential
CRNP
Primary taxonomy
Adult Health Nurse Practitioner 363LA2200X
License numbers
SP009193 PA
LP0000308 DE
Self-reported in NPPES; status is on the state search
Practice location
3401 N Broad St, Philadelphia, PA 19140
Phone
(215) 707-1800
Enumerated
Apr 12, 2007
Record last updated
Feb 15, 2023
Fax
(215) 707-3644
Medicare enrollment
Enrolled (PECOS I20260207000811); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

8 nearest adult health nurse practitioner records → All 1,368 in Pennsylvania → Look up another NPI →

Also registered at 3401 N Broad St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Tori Abdalla, DOInternal Medicine Physician1942091699
  2. Ahmad Abdeen, MDSurgery Physician1033900642
  3. Rehab Abdel-Kariem, M.D.Emergency Medicine Physician1508008434
  4. Abdelaal Abdelbaky, MDNeurological Surgery Physician1437429107
  5. Ziyodakhon Abdujabborova, MDInternal Medicine Physician1699391839
  6. Asia Abdul-Haqq, CNMAdvanced Practice Midwife1588679161

Verify Carissa Sharnetta Fuller in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
    Search for license SP009193    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Bills Medicare through 2 group practices

  1. Main Line HealthcareNewtown Square, PA
  2. Vidant Medical Group LLCGreenville, NC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Carissa Sharnetta Fuller among 1,368 adult health nurse practitioner records in Pennsylvania

Carissa Sharnetta Fuller, CRNP is one of 1,368 adult health nurse practitioner records with a practice address in Pennsylvania. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 22% of them.

  • NPI issued2007 · 22% of these records are older, 67% newer
  • In a Medicare fileYes · 68% of these records are
  • In the CMS Doctors and Clinicians fileYes · 50% of these records are
  • Graduated2006 · median 2012 among the 678 with a school on file
  • Record last updated2023 · 71% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LA2200X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Adult Health Nurse Practitioner providers in Pennsylvania

There are 1,368 adult health nurse practitioner records in Pennsylvania.

All 1,368 in Pennsylvania → Every provider in Philadelphia → Adult Health Nurse Practitioner nationwide →

The 8 adult health nurse practitioner records with the nearest ZIP codes

  1. Carol Calianno, CRNPPhiladelphia, PA 191401285887778
  2. Vanessa Lytes, CRNPPhiladelphia, PA 191401255662334
  3. Diane Macmillan, CRNPPhiladelphia, PA 191401881847184
  4. Linda Madrak, CRNPPhiladelphia, PA 191401851542252
  5. Dorothea McGlaughlin, CRNPPhiladelphia, PA 191401336106210
  6. Patricia McGurl, CRNPPhiladelphia, PA 191401811037617
  7. Jessamyn Melnicoff, CRNP (NURSE PRACT)Philadelphia, PA 191401215036868
  8. Sonya Ombima, CRNPPhiladelphia, PA 191401437367703

Common questions

What is Carissa Sharnetta Fuller, CRNP's NPI number?

Carissa Sharnetta Fuller, CRNP's National Provider Identifier (NPI) is 1407070501, issued on Apr 12, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Carissa Sharnetta Fuller, CRNP located?

The NPPES record lists a practice address at 3401 N Broad St, Philadelphia, PA, 19140. Phone: (215) 707-1800. Providers update this record themselves, so call before visiting.

How can I verify Carissa Sharnetta Fuller, CRNP's license?

NPPES lists Pennsylvania license number SP009193, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.