Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194354506 Individual Practitioner Female Practitioner

Emily N Fuller , PA-C

Physician Assistant • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Emily Fuller, PA-C is a certified Physician Assistant practicing in Kettering, OH. With approximately 6 years of clinical experience since completing medical education in 2020, Emily Fuller delivers high-quality medical care to the local community at 3533 SOUTHERN BLVD STE 5650.

Emily Fuller maintains professional affiliations with Kettering Independent Medical Group Inc, Cotton-O'Neil Clinic Revocable Trust, University Of Utah Adult Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, x-ray of chest, 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3533 Southern Blvd Ste 5650

Kettering, OH 454291263

Telephone 9372943611
Fax 9372949010
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kettering, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -1.7 yrs vs City Avg
City Avg: 7.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
115 Specialists

Practicing in Kettering, OH (5376 Statewide)

Telehealth Adoption Rate
7.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fuller (6 Years) 6 Yrs
Kettering Specialty Average (7.7 Years) 7.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
32 25 $191.66 $100.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
16 15 $247.16 $103.28
71046 X-ray of chest, 2 views
15 13 $54.50 $18.97
35301 Removal of blood clot and portion of artery of neck
11 11 $1010.75 $135.06

Medical Specialties & State Licenses

CMS Verified: 2026-07-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KS 15-02470

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Kettering Independent Medical Group Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958646

Kettering Independent Medical Group Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958251

Cotton-O'neil Clinic Revocable Trust

901 Sw Garfield Ave, Topeka, KS 666061670

Phone: 7853549591

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Cotton-O'neil Clinic Revocable Trust

2909 Se Walnut Dr, Topeka, KS 666052189

Phone: 7852670744

University Of Utah Adult Services

1950 Circle Of Hope Dr, Salt Lake City, UT 841125500

Phone: 8015812121

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Cotton-O'neil Clinic Revocable Trust

909 Sw Mulvane St, Topeka, KS 666061677

Phone: 7853549591

Cotton-O'neil Clinic Revocable Trust

909 Sw Mulvane St, Topeka, KS 666061677

Phone: 7852704613

Cotton-O'neil Clinic Revocable Trust

929 Sw Mulvane St, Topeka, KS 666061677

Phone: 7853546242

University Of Utah Adult Services

50 N Medical Dr, Salt Lake City, UT 841320001

Phone: 8015812121

University Of Utah Adult Services

50 N Medical Dr, Salt Lake City, UT 841320100

Phone: 8012132995

Cotton-O'neil Clinic Revocable Trust

1500 Sw 10h Ave, Topeka, KS 666041301

Phone: 7853546000

Secondary Practice Locations

425 W Grand Ave Ste 2002

Dayton, OH 454054722

Phone: 3792943611

1500 Sw 10th Ave

Topeka, KS 666041301

Phone: 7853546000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Scarlett Sarbaugh , AG-ACNP

Nurse Practitioner - Acute Care

NPI 1083918965

Adult-Gerontology Acute Care Nurse Practitioner

Daniel Straiton

Physician Assistant - Surgical

NPI 1104384577
Dr. Romel Garcia-Montilla , MD

Internal Medicine - Critical Care Medicine

NPI 1275715310

Doctor of Medicine (M.D.)

Kenneth Gill

Perfusionist

NPI 1275772717
Lee Schwieterman , CNP

Nurse Practitioner - Gerontology

NPI 1275933574

Certified Nurse Practitioner

Marija Bogojevic

Internal Medicine

NPI 1417538430

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location July 09, 2025

Registered at 3533 SOUTHERN BLVD STE 5650, KETTERING, OH 454291263 (Tel: 9372943611)

📍
Updated Business Mailing Address July 09, 2025

Registered at 1500 SW 10TH AVE, TOPEKA, KS 666041301 (Tel: 7853546000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2024

Physician Assistant

👤
Provider Name / Credentials Updated February 27, 2023

Recorded as EMILY FULLER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2022

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location March 25, 2021

Registered at 830 SW MULVANE ST, TOPEKA, KS 666061654 (Tel: 7852708625)

📍
Updated Business Mailing Address March 25, 2021

Registered at 830 SW MULVANE ST, TOPEKA, KS 666061654 (Tel: 7852708625)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2021

Physician Assistant

NPI Profile Active April 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2020

Registered at 6060 NEEDLE ROCK CT, SYLVANIA, OH 435609528 (Tel: 4193560097)

📍
Updated Business Mailing Address April 07, 2020

Registered at 6060 NEEDLE ROCK CT, SYLVANIA, OH 435609528 (Tel: 4193560097)

👤
Provider Name / Credentials Updated April 07, 2020

Recorded as EMILY FULLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 07, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194354506
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2020
Last Update: July 07, 2026
Sole Proprietor: No

Mailing Address

1500 Sw 10th Ave

Topeka, KS 666041301

Phone: 7853546000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.