Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christopher John Fullmer, PA-C

Individual provider Physician Assistant · NPI 1699443036

Christopher John Fullmer, PA-C is a Physician Assistant in Scottsdale, Arizona. Graduated from University of Washington School of Medicine in 2022, 4 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Utah.

Years since qualifying
4
Trained at
University of Washington School of Medicine
Licensed in
AZ, UT
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 147 E 2200 S, Bountiful, UT 84010-5658 — (801) 712-5431

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9568 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 5508666-8002 (UT)

Record details

NPI number1699443036
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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