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

Individual provider Physician Assistant · NPI 1386350742

Nicole Ann Fuller, PA-C is a Physician Assistant in Doylestown, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Dermatology and Mohs Surgery Center PC, a 14-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2023
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

2003 Lowr State RD # BLGD200
Doylestown, PA 18901-2622
Phone: (215) 345-6647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2003 Lower State Rd Unit 310, Doylestown, PA 18901-2622 — (215) 345-6647
  • 960 Lawn Avenue, Sellersville, PA 18960 — (267) 354-1440

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1386350742
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 27, 2023
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Dermatology And Mohs Surgery Center Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Doylestown