Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EMILY N FULLER PA-C
NPI 1194354506
Physician Assistant in Kettering, OH

Q: What is Emily Fuller's NPI number?

The NPI number for Emily Fuller is 1194354506. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Q: What is Emily Fuller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Fuller was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment

3533 SOUTHERN BLVD STE 5650, KETTERING, OH 45429(937) 294-3611(937) 294-9010 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, Jul 9, 2025, Jul 2, 2025 and 6 more (9 updates tracked since 2020).

On this page

About Emily N Fuller Pa-c NPPES

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

EMILY N FULLER PA-C (NPI 1194354506) is an individual physician assistant in Kettering, Ohio, licensed in Kansas (15-02470) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Stormont Vail Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194354506

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameEMILY N FULLERCredential: PA-C

Location Address3533 SOUTHERN BLVD STE 5650Kettering, OH 45429-1263

Mailing Address1500 Sw 10th AveTopeka, KS 66604-1301 · (785) 354-6000

Phone(937) 294-3611

Fax(937) 294-9010

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 7, 2020

Last NPPES UpdateJuly 7, 20269 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1194354506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in KS · 15-02470

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3533 SOUTHERN BLVD STE 5650, Kettering, OH 45429

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Secondary Practice Locations 2

Location 1425 W Grand Ave Ste 2002Dayton, OH 45405-4722 · Phone (379) 294-3611 · Fax (937) 294-9010

Location 21500 SW 10th AveTopeka, KS 66604-1301 · Phone (785) 354-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., BridgeSpan Health Company, Medica and more.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

Emily N Fuller Pa-c 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 ID3577962166

PECOS Enrollment IDI20210602001462, I20240116004280, I20250722000453

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 3

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

Stormont Vail Hospital

Acute Care Hospitals · Topeka, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170086

Location1500 SW 10th AvenueTopeka, KS 66604 · Shawnee County

Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360079

Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County

Emergency services Birthing friendly

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL E STRAITON

Physician Assistant (Surgical)