Shannia Fullerton
NPI 1912510124ActiveIndividual· Anesthesiologist Assistant· Orlando, FL
Anesthesiologist Assistant with Brevard Physician Associates PLLC, practicing in Orlando, Florida. Medicare paid $18,046 for services to 155 patients in 2024. Merck Sharp & Dohme LLC reported $16.47 in payments in 2025, mostly food and beverage. Lists Cape Canaveral Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1912510124 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 26, 2020 |
| Last updated in NPPES | Dec 29, 2023 |
| Certified by provider | Dec 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | AA621 | FL |
| Anesthesiology | 207L00000X | 32697719 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (FL); Practitioner - Anesthesiology Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 155 |
|---|---|
| Services billed | 155 across 37 procedure codes |
| Paid by Medicare | $18,046 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Brevard Physician Associates PLLCMelbourne, FL · 216 clinicians
Hospital affiliations
- Cape Canaveral HospitalCocoa Beach, FL
- Holmes Regional Medical CenterMelbourne, FL
- Viera HospitalMelbourne, FL
Industry payments (Open Payments)
- 2025$16.47 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $16.47 | 1 |
What the 2025 payments were for
- Food and Beverage$16.47 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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