Justin Fuller, PA
NPI 1609767227 · Student in an Organized Health Care Education/Training Program · Madras, OR
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Fuller, PA is a Student in an Organized Health Care Education/Training Program provider in Madras, OR (NPI 1609767227).
Provider details
- NPI number
- 1609767227
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4311 11th Ave Ne Ste 200Seattle, WA 98105-6367Phone: (206) 616-4001
Registry dates
- Enumerated
- 2025-07-11
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Frequently asked questions
- What is Justin Fuller's NPI number?
- Justin Fuller's National Provider Identifier (NPI) is 1609767227, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Fuller's specialty?
- Justin Fuller is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Justin Fuller located?
- Justin Fuller's practice location on file with NPPES is 470 Ne a St, Madras, OR 97741-1844.
- What is Justin Fuller's phone number?
- The practice phone number listed in the NPPES registry for Justin Fuller is (541) 475-4800.
- Does Justin Fuller accept Medicare?
- Justin Fuller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Fuller's NPI active?
- Yes — Justin Fuller's NPI (1609767227) is active in the NPPES registry as of the last update on 2026-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.