Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mrs. Mary Fuller, DNP
Nurse Practitioner in Kewanee, IL · enumerated 2020.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1497364053
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Registry record
Entity type Individual (Type 1)
Name Mrs. Mary Fuller
Credential DNP
Sex Female
Practice address 110 N Burr Blvd, Kewanee, IL, 61443
Phone (309) 852-0197
Fax (309) 854-5575
Enumeration date Jul 29, 2020
Last updated in NPPES Aug 4, 2020
Taxonomy & licenses
2083P0901X Public Health & General Preventive Medicine Physician Allopathic & Osteopathic Physicians · License 209021513 (IL) Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 209021513 (IL) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 209021513 (IL) Primary
DNP · Doctor of Nursing Practice: A clinical doctorate for advanced practice nurses.
About the DNP credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366006568001 | Medicaid | IL | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Mary Fuller?
Mary Fuller is registered in NPPES with the primary taxonomy of Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-04.