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SHANNIA FULLERTON
NPI 1912510124
Anesthesiologist Assistant in Orlando, FL

Active since August 26, 2020Accepts Medicare Assignment
74.99/100
CMS Quality Rating
62 COLUMBIA ST, ORLANDO, FL 32806(321) 214-4903(321) 843-2196 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shannia Fullerton NPPES

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

SHANNIA FULLERTON (NPI 1912510124) is an individual anesthesiologist assistant in Orlando, Florida, licensed in Florida (AA621) and active in the NPI registry since August 2020. She is affiliated with Holmes Regional Medical Center, maintains a secondary practice location in Melbourne, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912510124
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameSHANNIA FULLERTON
Location Address62 COLUMBIA STOrlando, FL 32806-1115
Mailing Address62 Columbia StOrlando, FL 32806-1115 · (321) 214-4903 · Fax (321) 843-2196
Phone(321) 214-4903
Fax(321) 843-2196
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 26, 2020
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
✔ NPI 1912510124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in FL · AA621
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 32697719 (FL)
62 COLUMBIA ST, Orlando, FL 32806
Open in Google Maps ↗

Secondary Practice Location 1

Location 11775 W Hibiscus Blvd Ste 215Melbourne, FL 32901-2627 · Phone (321) 837-3820

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannia Fullerton 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 ID5395165260
PECOS Enrollment IDI20201014001731

Medicare Billing Reassignments

5

Medicare enrollment records show Shannia Fullerton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orlando Health Medical Group Inc
0.1 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452
Orlando Anesthesia Consultants PA
9.2 mi
Anesthesiology
10000 W COLONIAL DR
Ocoee, FL 34761
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
NPI 1184661696 (407) 667-0444
Brevard Physician Associates, PLLC
45 mi
Vascular & Interventional Radiology
8075 SPYGLASS HILL RD
Melbourne, FL 32940
  • Reassigned Medicare billing, Florida enrollment
  • 378 clinicians in this Medicare group
NPI 1124691159 (321) 837-3820
Piedmont Anesthesia LLC
383 mi
Anesthesiology
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 713 clinicians in this Medicare group
NPI 1700474244 (678) 604-1053
Piedmont Anesthesia Associates, L.L.C
405 mi
Anesthesiology
1984 PEACHTREE ROAD NW, SUITE 515
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 441 clinicians in this Medicare group
NPI 1407856594 (404) 351-1745

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
32 services32 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
23 services23 patients
Anesthesia for open or endoscopic total shoulder joint replacement 01638
Anesthesia for total shoulder joint replacement, either open or endoscopic, involves using medications to block pain during surgery. It can be general (you're asleep) or regional (only the area being operated on is numbed). This ensures comfort and stillness, facilitating a successful procedure.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Cape Canaveral Hospital

Acute Care Hospitals · Cocoa Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100177
Location701 W Cocoa Beach CausewayCocoa Beach, FL 32932 · Brevard County
Emergency services Birthing friendly

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard 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.

74.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.19
Improvement Activities40
Cost52.94

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.

RAMANDEEP KAUR CHOHAN CAA
Anesthesiologist Assistant
62 COLUMBIA ST
ORLANDO, FL 32806
Orange County (407) 514-3668
KRISTI CREEL
Nurse Anesthetist, Certified Registered
62 COLUMBIA ST
ORLANDO, FL 32806
Orange County (321) 214-4903
DR. JOSE J DAVILA M.D.
Anesthesiology
62 COLUMBIA ST
ORLANDO, FL 32806
Orange County (321) 527-7424
TYLER FONG MD
Anesthesiology
62 COLUMBIA ST
ORLANDO, FL 32806
Orange County (321) 214-4903
DR. JUSTIN KIM
Anesthesiology
62 COLUMBIA ST
ORLANDO, FL 32806
Orange County (407) 514-3668
VERONICA DAWN ROBINSON
Nurse Anesthetist, Certified Registered
62 COLUMBIA ST
ORLANDO, FL 32806
Orange County (407) 514-3668
JOSEPH PAUL LUCCHETTI CRNA
Nurse Anesthetist, Certified Registered
62 COLUMBIA ST
ORLANDO, FL 32806
Orange County (407) 514-3668
MRS. PATRICIA JEAN PAMAS APRN
Nurse Practitioner (Adult Health)
62 COLUMBIA ST
ORLANDO, FL 32806
Orange County (321) 841-3581

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 Shannia Fullerton's NPI number?

The NPI number for Shannia Fullerton is 1912510124. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Shannia Fullerton located?

Shannia Fullerton practices at 62 Columbia St, Orlando, FL 32806. The listed phone number is (321) 214-4903.

What is Shannia Fullerton's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Shannia Fullerton enrolled in Medicare?

Yes. Shannia Fullerton 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.

Which organizations bill Medicare for Shannia Fullerton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannia Fullerton reassigns Medicare benefits to 5 organizations: Orlando Health Medical Group Inc (Orlando, FL), Orlando Anesthesia Consultants PA (Ocoee, FL), Brevard Physician Associates, PLLC (Melbourne, FL), Piedmont Anesthesia LLC (Stockbridge, GA) and Piedmont Anesthesia Associates, L.L.C (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannia Fullerton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shannia Fullerton affiliated with any hospitals?

According to CMS data, Shannia Fullerton is affiliated with Holmes Regional Medical Center, Cape Canaveral Hospital and Viera Hospital.

When was this NPI record last updated?

The NPPES record for Shannia Fullerton was last updated on December 29, 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.