NPPES file of Aug 9, 2026

Justin Wayne Fuller

Certified Registered Nurse Anesthetist · Mesa, AZ

Justin Wayne Fuller is a certified registered nurse anesthetist with a practice address in Mesa, Arizona, and NPI 1962176917, issued on Aug 3, 2021. Check the license (Arizona 264564, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1962176917
Name
Justin Wayne Fuller
Primary taxonomy
Certified Registered Nurse Anesthetist 367500000X
License numbers
264564 AZ
RN185391 AZ
Self-reported in NPPES; status is on the state search
Practice location
1400 S Dobson RD, Mesa, AZ 85202
Phone
(972) 761-5508
Enumerated
Aug 3, 2021
Record last updated
Oct 26, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20211028001039); 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.
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Also registered at 1400 S Dobson RD

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

  1. Anas Abu Assi, MBBSInternal Medicine Physician1881212264
  2. Rami Abusaleh, MDHospice and Palliative Medicine (Internal Medicine) Physician1356921977
  3. Abraham AlfarraAnesthesiology Physician1174268585
  4. Suhail Alhreish, PHARMDPharmacist1285041467
  5. Mistelle Allan, NPFamily Nurse Practitioner1154951150
  6. Haneen Alwawi, CRNACertified Registered Nurse Anesthetist1245877893

Verify Justin Wayne Fuller in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this profession
    Search for license 264564
    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 Arizona 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.

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The practice group's MIPS final score for 2023 (Medicare payment program): 92.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costout of 100 · 30%51.2
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $22.12

1 payment: food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 24,076 providers of this specialty with any payment received $135.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Justin Fuller$22.12
  2. Specialty average$135.08

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Banner Hospital Based Physicians Arizona LLCMesa, AZ

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

Justin Wayne Fuller among 1,100 certified registered nurse anesthetist records in Arizona

Justin Wayne Fuller is one of 1,100 certified registered nurse anesthetist records with a practice address in Arizona. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 72% of them.

  • NPI issued2021 · 72% of these records are older, 22% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileYes · 81% of these records are
  • Graduated2021 · median 2017 among the 891 with a school on file
  • Record last updated2021 · 43% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Certified Registered Nurse Anesthetist providers in Arizona

There are 1,100 certified registered nurse anesthetist records in Arizona.

The 8 certified registered nurse anesthetist records with the nearest ZIP codes

  1. Haneen Alwawi, CRNAMesa, AZ 852021245877893
  2. Jordan Bohrer, CRNAMesa, AZ 852021982347530
  3. Michelle Burak, CRNAMesa, AZ 852021689562795
  4. Nicole Burns, CRNAMesa, AZ 852021881471779
  5. Matthew EllefsonMesa, AZ 852021629937818
  6. Jennifer Grigsby, CRNAMesa, AZ 852021598732638
  7. Cierra HansenMesa, AZ 852021700678885
  8. Mary Kline, CRNAMesa, AZ 852021629005871

Common questions

What is Justin Wayne Fuller's NPI number?

Justin Wayne Fuller's National Provider Identifier (NPI) is 1962176917, issued on Aug 3, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Justin Wayne Fuller located?

The NPPES record lists a practice address at 1400 S Dobson RD, Mesa, AZ, 85202. Phone: (972) 761-5508. Providers update this record themselves, so call before visiting.

How can I verify Justin Wayne Fuller's license?

NPPES lists Arizona license number 264564, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

What is Justin Wayne Fuller's MIPS final score?

The 2023 MIPS final score is 92.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

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.

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.