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

Jayme Fuller, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306490446

Jayme Fuller, PA-C is a Physician Assistant in Anchorage, Alaska. Qualified in 2020, 6 years ago. Practices with Alaska Native Tribal Health Consortium, a 603-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
6
Licensed in
AK
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.

See every abbreviation used in this directory →

Practice location Address checks out

4100 Lake Otis Pkwy Ste 108
Anchorage, AK 99508-5230
Phone: (907) 563-3145
Fax: (833) 464-5196
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 170490 (AK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306490446
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 26, 2019
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023
Mailing address4100 Lake Otis Pkwy Ste 108, Anchorage, AK 99508-5230

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Alaska Native Tribal Health Consortium — 603 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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