MS. STEPHANIE ELIZABETH RAE FULTON PA-C
NPI 1396177556
Physician Assistant in Waterford, MI

Q: What is Stephanie Rae Fulton's NPI number?

The NPI number for Stephanie Rae Fulton is 1396177556. It was assigned to this individual provider in the NPPES registry on July 30, 2013.

Q: What is Stephanie Rae Fulton's specialty?

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

Active since July 30, 2013PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4800 HIGHLAND RD, WATERFORD, MI 48328(248) 673-0500(248) 673-6077 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Stephanie Elizabeth Rae Fulton Pa-c NPPES

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

MS. STEPHANIE ELIZABETH RAE FULTON PA-C (NPI 1396177556) is an individual physician assistant in Waterford, Michigan, licensed in Michigan (5601006793) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1396177556

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. STEPHANIE ELIZABETH RAE FULTONCredential: PA-C

Location Address4800 HIGHLAND RDWaterford, MI 48328-1176

Mailing Address4800 Highland RdWaterford, MI 48328-1176 · (248) 673-0500 · Fax (248) 673-6077

Phone(248) 673-0500

Fax(248) 673-6077

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 30, 2013

Last NPPES UpdateOctober 5, 2016

✔ NPI 1396177556 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 MI · 5601006793

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.

4800 HIGHLAND RD, Waterford, MI 48328

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Other Identifiers 1

Other5601006793MI · License#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Ms. Stephanie Elizabeth Rae Fulton 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 ID6608002969

PECOS Enrollment IDI20131115001156

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48328 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

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.

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