CARRIE FULLER PA-C
NPI 1881149201
Physician Assistant - Medical in North Haven, CT

Active since August 16, 2016PECOS EnrolledAccepts Medicare Assignment
163 UNIVERSAL DR N, NORTH HAVEN, CT 06473(203) 874-3682 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 31, 2026, Aug 16, 2016 (2 updates tracked since 2016).

About Carrie Fuller Pa-c NPPES

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

CARRIE FULLER PA-C (NPI 1881149201) is an individual medical provider in North Haven, Connecticut, licensed in Connecticut (3644) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1881149201
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCARRIE FULLERCredential: PA-C
Location Address163 UNIVERSAL DR NNorth Haven, CT 06473-3152
Mailing Address163 Universal Dr NNorth Haven, CT 06473-3152 · (203) 874-3682
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 16, 2016
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
NPI 1881149201 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 CT · 3644
163 UNIVERSAL DR N, North Haven, CT 06473

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

Carrie 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.

PECOS PAC ID7113214206
PECOS Enrollment IDI20160916001008
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
163 UNIVERSAL DR N
NORTH HAVEN, CT 06473
Family Medicine
163 UNIVERSAL DR N
NORTH HAVEN, CT 06473
Physician Assistant (Medical)
163 UNIVERSAL DR N
NORTH HAVEN, CT 06473
Physician Assistant (Medical)
163 UNIVERSAL DR N
NORTH HAVEN, CT 06473
Nurse Practitioner (Family)
163 UNIVERSAL DR N
NORTH HAVEN, CT 06473
Nurse Practitioner (Family)
163 UNIVERSAL DR N
NORTH HAVEN, CT 06473

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881149201, enumerated as an "individual" on August 16, 2016.

The provider is located at 163 UNIVERSAL DR N NORTH HAVEN, CT 06473 and the phone number is (203) 874-3682.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.