KELBY LEE FULLER PA-C
NPI 1780103820
Physician Assistant in Thurmond, NC
About Kelby Lee Fuller Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELBY LEE FULLER PA-C (NPI 1780103820) is an individual physician assistant in Thurmond, North Carolina, licensed in North Carolina (0010-07518) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Texas Childrens Hosp, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Kelby Lee 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Texas Childrens Hosp
Childrens · Houston, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28683 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kelby Fuller's NPI number?
The NPI number for Kelby Fuller is 1780103820. It was assigned to this individual provider in the NPPES registry on September 10, 2017.
Where is Kelby Fuller located?
Kelby Fuller practices at 726 Whisper Ridge Ln, Thurmond, NC 28683. The listed phone number is (336) 469-4662.
What is Kelby Fuller's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kelby Fuller enrolled in Medicare?
Yes. Kelby 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 Kelby Fuller accept?
Health plans from Moda Health Plan, Inc. list Kelby 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 Kelby Fuller affiliated with any hospitals?
According to CMS data, Kelby Fuller is affiliated with Texas Childrens Hosp.
When was this NPI record last updated?
The NPPES record for Kelby Fuller was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelby Lee Fuller, PA-C · NPI 1780103820
Physician Assistant physician in Thurmond, North Carolina. Individual provider, active in the CMS NPPES registry since September 10, 2017.
## Identity
- **NPI:** 1780103820 (Entity type: Individual)
- **Enumerated:** September 10, 2017
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 0010-07518 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 726 WHISPER RIDGE LN, Thurmond, NC 28683-9467
- **Phone:** (336) 469-4662
## 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 2017
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1780103820) · Data from the CMS NPPES public registry.