MISS JENNIFER FULTON PA
NPI 1649260357
Physician Assistant - Medical in E Patchogue, NY

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
285 SILLS RD, E PATCHOGUE, NY 11772(631) 447-8300 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Jennifer Fulton Pa NPPES

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

MISS JENNIFER FULTON PA (NPI 1649260357) is an individual medical provider in E Patchogue, New York, licensed in New York (009370) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and maintains a secondary practice location in Riverhead.

NPPES Registry Identity

NPI1649260357
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMISS JENNIFER FULTONCredential: PA
Location Address285 SILLS RDE Patchogue, NY 11772-4869
Mailing Address951 Roanoke AveRiverhead, NY 11901-2724 · (631) 727-7773 · Fax (631) 727-7832
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 24, 2005
Last NPPES UpdateAugust 11, 2022
NPPES CertifiedAugust 11, 2022
NPI 1649260357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 009370
285 SILLS RD, E Patchogue, NY 11772

Other Names 1

Former Name (1)Mrs. Jennifer Kearney Pa

Secondary Practice Location 1

Location 1951 Roanoke AveRiverhead, NY 11901-2724 · Phone (631) 727-7773 · Fax (631) 727-7832

Other Identifiers 1

Medicaid02519684NY

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

Miss Jennifer Fulton Pa 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 ID3971592114
PECOS Enrollment IDI20040511001465
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

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Specialist
285 SILLS RD, BLDG 16
EAST PATCHOGUE, NY 11772
Prosthetic/Orthotic Supplier
285 SILLS RD, BLDG 4 STE B
EAST PATCHOGUE, NY 11772
Audiologist
285 SILLS RD, BUILDING 10, SUITE A
EAST PATCHOGUE, NY 11772
Dentist (Oral and Maxillofacial Surgery)
285 SILLS RD, BUILDING 2 SUITE A
EAST PATCHOGUE, NY 11772
Dentist (Pediatric Dentistry)
285 SILLS RD
EAST PATCHOGUE, NY 11772
Internal Medicine (Pulmonary Disease)
285 SILLS RD, BUILDING 7, SUITE B
EAST PATCHOGUE, NY 11772
Family Medicine
285 SILLS RD, BLDG 10, SUITE D
EAST PATCHOGUE, NY 11772
Rehabilitation Unit
285 SILLS RD, BUILDING 10 SUITE D
EAST PATCHOGUE, NY 11772

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 Jennifer Fulton's NPI number?

The NPI number for Jennifer Fulton is 1649260357. It was assigned to this individual provider in the NPPES registry on October 24, 2005. The provider is also known as Mrs. Jennifer Kearney PA.

Where is Jennifer Fulton located?

Jennifer Fulton practices at 285 Sills Rd, E Patchogue, NY 11772. The listed phone number is (631) 447-8300.

What is Jennifer Fulton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jennifer Fulton enrolled in Medicare?

Yes. Jennifer Fulton 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 Jennifer Fulton affiliated with any hospitals?

According to CMS data, Jennifer Fulton is affiliated with Long Island Community Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Fulton was last updated on August 11, 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.