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ANDREA MARIE FULLERTON MD
NPI 1063617587
Obstetrics & Gynecology in Wichita, KS

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment
83.42/100
CMS Quality Rating
1515 S CLIFTON, STE 400, WICHITA, KS 67208(316) 636-1550(316) 689-9769 Get Directions Write a Review

NPPES record last updated: February 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Marie Fullerton Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA MARIE FULLERTON MD (NPI 1063617587) is an individual obstetrics & gynecology provider in Wichita, Kansas, licensed in Kansas (046772) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension Via Christi Hospitals Wichita, Inc., and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2007).

NPPES Registry Identity

NPI1063617587
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANDREA MARIE FULLERTONCredential: MD
Location Address1515 S CLIFTON, STE 400Wichita, KS 67208
Mailing AddressPo Box 8035Wichita, KS 67208-0035 · (316) 689-9135
Phone(316) 636-1550
Fax(316) 689-9769
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2007
Enumeration DateJune 15, 2007
Last NPPES UpdateFebruary 7, 2014
✔ NPI 1063617587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KS · 046772
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1515 S CLIFTON, Wichita, KS 67208
Open in Google Maps ↗

Other Identifiers 3

Other200429620AOK · Ok Medicaid
Other003719131Medicare
Medicaid200865920AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Marie Fullerton Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456522309
PECOS Enrollment IDI20110926000304
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Via Christi Hospitals Wichita, Inc.

Acute Care Hospitals · Wichita, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170122
Location929 North St Francis StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.21
Promoting Interoperability98
Improvement Activities40
Cost73.2

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Fullerton's NPI number?

The NPI number for Andrea Fullerton is 1063617587. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Andrea Fullerton located?

Andrea Fullerton practices at 1515 S Clifton Ste 400, Wichita, KS 67208. The listed phone number is (316) 636-1550.

What is Andrea Fullerton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Andrea Fullerton enrolled in Medicare?

Yes. Andrea Fullerton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Fullerton accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Andrea Fullerton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrea Fullerton affiliated with any hospitals?

According to CMS data, Andrea Fullerton is affiliated with Ascension Via Christi Hospitals Wichita, Inc..

When was this NPI record last updated?

The NPPES record for Andrea Fullerton was last updated on February 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.