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Greg L. Fullmer , AGNP-C

Nurse Practitioner - Gerontology β€’ Spokane, WA

Active NPI 1215801865 Individual Practitioner Male Practitioner
Practice location in NPPES

4815 N Assembly St
Spokane, WA 992056185

Call 5094347000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4815 N Assembly St

Spokane, WA 992056185

Telephone 5094347000
Organization at the Same NPPES Address or Phone
Spokane Vamc Facility NPI 1962450122

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Spokane and Washington

15 active clinicians are listed under Nurse Practitioner - Gerontology with a practice address in Spokane, WA (209 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Spokane

13.3% of these 15 clinicians have the CMS telehealth indicator.

73.3% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-10
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

License # reported to NPPES ID 5271681
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

25 listed
Cheryl Bailey , MSN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1831257153

Master of Science in Nursing

Dan Benker

Registered Nurse

NPI 1174616676
NPI 1851649495

Doctor of Pharmacy (Pharm.D.)

NPI 1386253714

Advanced Practice Registered Nurse

Derek Carley , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1609448638

Advanced Practice Registered Nurse

NPI 1053920918

Doctor of Pharmacy (Pharm.D.)

Career & Practice History

NPI enumerated October 06, 2025.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from October 2025 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1215801865
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2025
Last Update: October 06, 2025
Sole Proprietor: Yes

Other Nurse Practitioner - Gerontology Specialists in Spokane

All Nurse Practitioner - Gerontology Specialists in Spokane

Mailing Address

803 E Elm Ave

Coeur D Alene, ID 838144438

Phone: 6194561337

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.