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ALEXANDRA FULLEMAN PA-C
NPI 1558810218
Physician Assistant in Phoenix, AZ

Active since September 22, 2016PECOS Enrolled
76.13/100
CMS Quality Rating
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5011(602) 344-1423 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2023, Jan 30, 2017, Sep 22, 2016 (3 updates tracked since 2016).

About Alexandra Fulleman Pa-c NPPES

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

ALEXANDRA FULLEMAN PA-C (NPI 1558810218) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (6467) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558810218
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDRA FULLEMANCredential: PA-C
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address2929 E Thomas RdPhoenix, AZ 85016-8034 · (602) 470-5000
Phone(602) 344-5011
Fax(602) 344-1423
Sole ProprietorNo
Enumeration DateSeptember 22, 2016
Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1558810218 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 AZ · 6467
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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 6467 (AZ)
2601 E ROOSEVELT ST, Phoenix, AZ 85008
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Other Identifiers 1

Medicaid225231AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Fulleman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85008 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

76.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.43
Improvement Activities40

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.

DR. JOEL PHILIP BETZ M.D.
Emergency Medicine (Emergency Medical Services)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5411
DR. ALI SHAHEEN AL-YAQOOBI M.D.
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5411
MARICOPA INTEGRATED HEALTH SYSTEM
General Acute Care Hospital
2601 E ROOSEVELT ST, DEPARTMENT OF MEDICINE
PHOENIX, AZ 85008
Maricopa County (602) 344-5366
OWEN THOMAS MCCABE MD
Surgery (Trauma Surgery)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
BRIGHAM NICOLL
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. AMELIA CATHERINE VAN HANDEL M.D.
Plastic Surgery
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (410) 999-0858
KEVIN YANG
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
STEPHANIE BERKSHIRE DO
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5892

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 Alexandra Fulleman's NPI number?

The NPI number for Alexandra Fulleman is 1558810218. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Alexandra Fulleman located?

Alexandra Fulleman practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5011.

What is Alexandra Fulleman's specialty?

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

Is Alexandra Fulleman enrolled in Medicare?

Yes. Alexandra Fulleman is registered in the Medicare PECOS enrollment system.

What insurance does Alexandra Fulleman accept?

Health plans from Blue Cross Blue Shield of Arizona list Alexandra Fulleman 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.

When was this NPI record last updated?

The NPPES record for Alexandra Fulleman was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.