MS. STACIE MARIE FULCHER (PA-C) – Medical Physician Assistant, NPI 1013193556
Medical Physician Assistant
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
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Provider Addresses for MS. STACIE MARIE FULCHER (PA-C)
PO BOX 1189
CORVALLIS, OR 973391189
Phone:
Type: Mailing
Saint Charles Medical Center, 2500, Northeast Neff Road, Bend, Deschutes County, Oregon, 97701, United States
BEND, OR 977016015
Phone: (541) 706-4701
Fax: (541) 706-4751
Type: Location
444 NW ELKS DRIVE
CORVALLIS, OR 97330
Phone: (541) 754-1256
Fax: (360) 597-1472
Type: Location
2500 NE Neff Rd
Bend, OR 977016015
Phone: (541) 706-4701
Fax: (541) 706-4751
Type: Location
501 NW ELKS DR STE 100
CORVALLIS, OR 973303757
Phone: (541) 768-4950
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2023-09-26 • Largest payer in this snapshot: Amgen Inc. ($39).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $39 |
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: 2011-10-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111022000082 | I | Physician Assistant | OR | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97339)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Nurse Practitioner | OR | |
| Hospice/Palliative Care, Gynecological Oncology | OR | |
| H E M A T O L O G Y/ O N C O L O G Y | OR | |
| Nurse Practitioner | TX | |
| Medical Oncology | OR | |
| H E M A T O L O G Y/ O N C O L O G Y | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Gynecological Oncology | OR |
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