LATOYIA DASHAWN FULLER PA-C
NPI 1245739119
Physician Assistant in Coral Springs, FL

Active since February 06, 2018PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1770 EAGLE TRACE BLVD, CORAL SPRINGS, FL 33071(317) 223-1056 Get Directions Write a Review

NPPES record last updated: February 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Latoyia Dashawn Fuller Pa-c NPPES

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

LATOYIA DASHAWN FULLER PA-C (NPI 1245739119) is an individual physician assistant in Coral Springs, Florida, licensed in Florida (9111028) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245739119
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLATOYIA DASHAWN FULLERCredential: PA-C
Location Address1770 EAGLE TRACE BLVDCoral Springs, FL 33071-7817
Mailing Address1770 Eagle Trace BlvdCoral Springs, FL 33071-7817 · (317) 223-1056
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 6, 2018
NPI 1245739119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · 9111028
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.
1770 EAGLE TRACE BLVD, Coral Springs, FL 33071

Other Names 1

Former Name (1)Latoyia Ball

Accepted 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

Latoyia Dashawn 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 ID8729415179
PECOS Enrollment IDI20200224002194
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of tunneled central venous tube 36589
A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Hospital

Acute Care Hospitals · Weston, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100289
Location3100 Weston RdWeston, FL 33331 · Broward County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33071 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

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 Latoyia Fuller's NPI number?

The NPI number for Latoyia Fuller is 1245739119. It was assigned to this individual provider in the NPPES registry on February 6, 2018. The provider is also known as Latoyia Ball.

Where is Latoyia Fuller located?

Latoyia Fuller practices at 1770 Eagle Trace Blvd, Coral Springs, FL 33071. The listed phone number is (317) 223-1056.

What is Latoyia Fuller's specialty?

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

Is Latoyia Fuller enrolled in Medicare?

Yes. Latoyia Fuller 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 Latoyia Fuller accept?

Health plans from AvMed list Latoyia Fuller 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 Latoyia Fuller affiliated with any hospitals?

According to CMS data, Latoyia Fuller is affiliated with Cleveland Clinic Hospital.

When was this NPI record last updated?

The NPPES record for Latoyia Fuller was last updated on February 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.