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

Chuck B Fuller, PA-C

Individual provider Physician Assistant · NPI 1124015102

Chuck B Fuller, PA-C is a Physician Assistant in Twin Falls, Idaho. Qualified in 1997, 29 years ago. Practices with Sterling Provider Group, a 53-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
29
Licensed in
ID
In the registry since
2005
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

660 Shoshone St E Ste 130
Twin Falls, ID 83301-6110
Phone: (208) 732-3400
Fax: (208) 732-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-499 (ID)

Record details

NPI number1124015102
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2005
Last updated in NPPESJanuary 10, 2008
Mailing address660 Shoshone St E, Suite 130, Twin Falls, ID 83301-6110

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Sterling Provider Group — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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