MS. MONIKA VIOLET FULLER (PA-C) – Physician Assistant, NPI 1093023806

MS. MONIKA VIOLET FULLER (PA-C) is a healthcare provider. based in East haven, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 002415 (CT). The NPI Number for MS. MONIKA VIOLET FULLER (PA-C) is 1093023806

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MS. MONIKA VIOLET FULLER (PA-C)
NPI
1093023806
Phone
(203) 468-9200
Address
836 FOXON RD
Enumeration Date
15 September 2010
Last Update Date
21 November 2012

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
0547485831
Group Practice PAC ID
1355246950
Professional Enrollment ID
I20140630000393
Address ID
CT064574775MI400XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for MS. MONIKA VIOLET FULLER (PA-C)

  • 836 FOXON RD

    MEDICAL WEIGHT LOSS CENTER

    EAST HAVEN, CT 06513

    Phone: (203) 468-9200

    Fax: (203) 468-9661

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140630000393IPhysician AssistantCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes14292$0
80053Blood test, comprehensive group of blood chemicals13896$0
80061Blood test, lipids (cholesterol and triglycerides)10983$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count10884$0
99213Established patient office or other outpatient visit, 20-29 minutes9362$0
View full utilization report →

Insurance plans in this area (ZIP 06513)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355246950View full group profile

Reviews

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Frequently asked questions

How do I look up MS. MONIKA VIOLET FULLER (PA-C) by NPI?
Use NPI 1093023806 when you need to reference MS. MONIKA VIOLET FULLER (PA-C) in forms, claims, or directories.
Is MS. MONIKA VIOLET FULLER (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MS. MONIKA VIOLET FULLER (PA-C)?
The page reflects Physician Assistant for MS. MONIKA VIOLET FULLER (PA-C). Clinical services aligned with this taxonomy classification.
Does MS. MONIKA VIOLET FULLER (PA-C) practice in Connecticut?
You will see East Haven, Connecticut on file for MS. MONIKA VIOLET FULLER (PA-C) alongside any extra practice locations.
Is MS. MONIKA VIOLET FULLER (PA-C) a real provider?
This page reflects official NPPES data for NPI 1093023806. Always confirm identity and privileges with the practice and licensing boards.

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