CARLY FAITH FULLER
NPI 1295293611
Physician Assistant - Medical in Woodbridge, VA
About Carly Faith Fuller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY FAITH FULLER (NPI 1295293611) is an individual medical provider in Woodbridge, Virginia, licensed in Virginia (0110007223) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Carly Faith Fuller 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medical College Of Virginia Hospitals
Acute Care Hospitals · Richmond, VAVcu Health Tappahannock Hospital
Acute Care Hospitals · Tappahannock, VAMedicare 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODBRIDGE, VA 22191
WOODBRIDGE, VA 22191
WOODBRIDGE, VA 22191
WOODBRIDGE, VA 22191
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 Carly Fuller's NPI number?
The NPI number for Carly Fuller is 1295293611. It was assigned to this individual provider in the NPPES registry on March 5, 2019.
Where is Carly Fuller located?
Carly Fuller practices at 2300 Opitz Blvd, Woodbridge, VA 22191. The listed phone number is (703) 915-5550.
What is Carly Fuller's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Carly Fuller enrolled in Medicare?
Yes. Carly 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.
Is Carly Fuller affiliated with any hospitals?
According to CMS data, Carly Fuller is affiliated with Medical College Of Virginia Hospitals and Vcu Health Tappahannock Hospital.
When was this NPI record last updated?
The NPPES record for Carly Fuller was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Carly Faith Fuller · NPI 1295293611
Medical physician in Woodbridge, Virginia. Individual provider, active in the CMS NPPES registry since March 5, 2019.
## Identity
- **NPI:** 1295293611 (Entity type: Individual)
- **Enumerated:** March 5, 2019
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 0110007223 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2300 OPITZ BLVD, Woodbridge, VA 22191-3311
- **Phone:** (703) 915-5550
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1295293611) · Data from the CMS NPPES public registry.