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

Hayley Fultz, PA-C

Individual provider Physician Assistant · NPI 1548811094

Hayley Fultz, PA-C is a Physician Assistant in Coconut Creek, Florida. Qualified in 2019, 7 years ago. Practices with Bocacare Inc, a 197-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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

5025 Ibis Pl
Coconut Creek, FL 33073-2402
Phone: (561) 445-5876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9002525 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 9112525 (FL)

Record details

NPI number1548811094
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 26, 2019
Last updated in NPPESMarch 30, 2024
Certification dateMarch 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Bocacare Inc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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