MS. ANDREA NICOLE FULLER (PA-C) – Physician Assistant, NPI 1558811711

MS. ANDREA NICOLE FULLER (PA-C) is a healthcare provider. based in Panhandle, Texas. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA10919 (TX). The NPI Number for MS. ANDREA NICOLE FULLER (PA-C) is 1558811711

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. ANDREA NICOLE FULLER (PA-C)
NPI
1558811711
Phone
(806) 282-4396
Address
PO BOX 1574
Enumeration Date
11 October 2016
Last Update Date
27 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8063589400
Graduation Year
2016 (10 years ago)
PAC ID
6406130996
Group Practice PAC ID
9133341795
Professional Enrollment ID
I20170301000388
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for MS. ANDREA NICOLE FULLER (PA-C)

  • PO BOX 1574

    PANHANDLE, TX 790681574

    Phone: (806) 282-4396

    Fax: (806) 655-0522

    Type: Mailing

  • 1985 CENTRAL EXPY N # 120

    ALLEN, TX 750135753

    Phone: (972) 962-9100

    Fax: (512) 782-9316

    Type: Mailing

  • 1411 MAIN ST

    DALLAS, TX 752024052

    Phone: (214) 749-4657

    Type: Location

  • CareXpress Urgent Care, 911, 23rd Street, Canyon, Randall County, Texas, 79015, United States

    CANYON, TX 790154645

    Phone: (806) 282-4396

    Fax: (806) 655-0522

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $376.

Total Amount is formed as General ($376) + Research ($0) + Ownership ($0) = $376.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($178).

Total Amount

$376

General + Research + Ownership

Payments

13

Total payment records

General Amount

$376

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 79068)

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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: 9133341795View full group profile

Reviews

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Frequently asked questions

How is MS. ANDREA NICOLE FULLER (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MS. ANDREA NICOLE FULLER (PA-C) with NPI 1558811711.
Can I rely on MS. ANDREA NICOLE FULLER (PA-C) being an active provider?
As of the registry snapshot, MS. ANDREA NICOLE FULLER (PA-C) is marked active.
What taxonomy line describes MS. ANDREA NICOLE FULLER (PA-C)?
For research purposes, treat MS. ANDREA NICOLE FULLER (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is MS. ANDREA NICOLE FULLER (PA-C) based?
MS. ANDREA NICOLE FULLER (PA-C) is tied to Panhandle, Texas in the data we show; additional addresses may exist on the full record.
Why does MS. ANDREA NICOLE FULLER (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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