ANDREA B FULCOMER PA-C
NPI 1972552131
Physician Assistant in Fitchburg, WI

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
5543 E CHERYL PKWY, FITCHBURG, WI 53711(608) 274-5300 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2021, Jan 6, 2017 (2 updates tracked since 2017).

About Andrea B Fulcomer Pa-c NPPES

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

ANDREA B FULCOMER PA-C (NPI 1972552131) is an individual physician assistant in Fitchburg, Wisconsin, licensed in Wisconsin (7152) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1972552131
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANDREA B FULCOMERCredential: PA-C
Location Address5543 E CHERYL PKWYFitchburg, WI 53711-5376
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 8, 2006
Last NPPES UpdateOctober 13, 20252 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
NPI 1972552131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in WI · 7152 Licensed in OH · 50-00-1216 Licensed in IL · 085.004757
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.

5543 E CHERYL PKWY, Fitchburg, WI 53711

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

Andrea B Fulcomer 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 ID2567642655
PECOS Enrollment IDI20251023003704
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 2

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

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53711 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.92
Promoting Interoperability78
Improvement Activities40
Cost55.01

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.

Obstetrics & Gynecology
5543 E CHERYL PKWY
FITCHBURG, WI 53711
Family Medicine
5543 E CHERYL PKWY
FITCHBURG, WI 53711
Social Worker (Clinical)
5543 E CHERYL PKWY
FITCHBURG, WI 53711
Pediatrics
5543 E CHERYL PKWY
FITCHBURG, WI 53711
Pediatrics
5543 E CHERYL PKWY
FITCHBURG, WI 53711
Family Medicine
5543 E CHERYL PKWY
FITCHBURG, WI 53711
Family Medicine
5543 E CHERYL PKWY
FITCHBURG, WI 53711
Internal Medicine (Geriatric Medicine)
5543 E CHERYL PKWY
FITCHBURG, WI 53711

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 Andrea Fulcomer's NPI number?

The NPI number for Andrea Fulcomer is 1972552131. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Andrea Fulcomer located?

Andrea Fulcomer practices at 5543 E Cheryl Pkwy, Fitchburg, WI 53711. The listed phone number is (608) 274-5300.

What is Andrea Fulcomer's specialty?

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

Is Andrea Fulcomer enrolled in Medicare?

Yes. Andrea Fulcomer 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 Andrea Fulcomer accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Quartz list Andrea Fulcomer 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 Andrea Fulcomer affiliated with any hospitals?

According to CMS data, Andrea Fulcomer is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Andrea Fulcomer was last updated on October 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.