Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Marie Fullerton, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1063617587

Andrea Marie Fullerton, MD is an Obstetrics/Gynecology in Wichita, Kansas. Graduated from Sanford School of Medicine of University of South Dakota in 2007, 19 years ago. Practices with Ascension Medical Group via Christi PA, a 183-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
19
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
KS
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1515 S Clifton Ste 400
Wichita, KS 67208
Phone: (316) 636-1550
Fax: (316) 689-9769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 046772 (KS)

Record details

NPI number1063617587
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2007
Last updated in NPPESFebruary 7, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 2007 (19 years in practice)
Group practice Ascension Medical Group Via Christi Pa — 183 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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