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

Evan Fuller

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821484635

Evan Fuller is an Anesthesiology in Hershey, Pennsylvania. Graduated from University of Oklahoma College of Medicine in 2015, 11 years ago. Practices with Northstar Anesthesia PA, a 237-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Trained at
University of Oklahoma College of Medicine
Licensed in
TX
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

500 University Dr
Hershey, PA 17033-2360
Phone: (717) 531-5522
Fax: (717) 531-0826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence R9753 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821484635
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESMay 17, 2019
Mailing address500 University Dr, Hershey, PA 17033-2360

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Northstar Anesthesia Pa — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Hershey