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NPI · 1154364099 · NPPES-sourced

Mr. Frederick Fuller PA-C

ActiveMedical Physician Assistant
NPI Number
1154364099
Type 1 · Individual
Taxonomy Code
363AM0700X
Contact
(801) 581-2292
License UT · 9860440-1206
Last Updated
Enumerated
Primary practice addressUT · 84132-3004
50 N Medical DrSalt Lake City, UT 84132-3004
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About this NPIWhat this record shows.

NPI 1154364099 is registered to Mr. Frederick Fuller PA-C, a Medical Physician Assistant practising at 50 N Medical Dr in Salt Lake City, Utah. Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mr. Frederick Fuller PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

It is enrolled in Medicare, linking to 5 PECOS enrollment records (each with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 382 Medical Physician Assistant providers on file in Utah.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Medicare enrollment

This provider holds 5 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mr. Frederick Fuller PA-C accepts. To confirm in-network status with your specific health plan, contact Mr. Frederick Fuller PA-C directly at (801) 581-2292.

Frequently asked

Yes. NPI 1154364099 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (801) 581-2292.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mr. Frederick Fuller PA-C is a Type-1 individual NPI.

As of the latest monthly CMS NPPES snapshot, 382 Medical Physician Assistant providers are registered in Utah, and Mr. Frederick Fuller PA-C is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeIndividual
Taxonomy363AM0700X
Last updated
Enumerated
StatusActive
Partneri
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4 records · same addressOther providers at this location.

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Same specialtyOther Medical Physician Assistant providers in Utah.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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