Maureen Pendergast Fuller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1366 Issued in MA

Practice address

101 Munson St # 215
Greenfield, MA 01301-9684

Phone

(413) 475-3233

Fax

(413) 475-3249

NPI assigned

Jun 17, 2006

Last updated

Sep 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New England Wound Care LLCGroup PAC ID 8426367467, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Care Central Vna & Hospice Inc Home health agency, Gardner, MA, CCN 227003
• Baystate Franklin Medical Center Hospital, Greenfield, MA, CCN 220016
• Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New England Wound Care LLC

  • Internal Medicine Physician
  • Westfield, MA
  • NPI 1407249386
  Medicare reassignment Care Compare group
• Healogics Specialty Physicians of Massachusetts, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Holyoke, MA
  • NPI 1083096614
  Medicare reassignment
• Pioneer Spine and Sports Physicians PC

  • Physical Medicine & Rehabilitation Physician
  • West Springfield, MA
  • NPI 1346282621
  Medicare reassignment
• Pioneer Spine and Sports Physicians, PC

  • Physical Therapist
  • West Springfield, MA
  • NPI 1346427713
  NPD (past)
• Connecticut Spine and Sports Physicians, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Wallingford, CT
  • NPI 1154363653
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baystate Franklin Medical Center

  • General Acute Care Hospital
  • Greenfield, MA
  • NPI 1508867391
  Care Compare affiliation
• Care Central Vna & Hospice Inc

  • Home Health Agency
  • Gardner, MA
  • NPI 1477526705
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • General Acute Care Hospital
  • Northampton, MA
  • NPI 1477596310
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • Psychiatric Hospital Unit
  • Northampton, MA
  • NPI 1871512814
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1558306209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MUNSON ST # 215",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013019684",
            "telephone_number": "413-475-3233",
            "fax_number": "413-475-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MUNSON ST # 215",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013019684",
            "telephone_number": "413-475-3233",
            "fax_number": "413-475-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGAST FULLER",
        "first_name": "MAUREEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M15170",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marjorie Peila, PT
• Lindsey Jayne Pelc, FNP-C
• Cheryl Ann Pelland-Lak, R.D., L.D.N.
• Joseph M Pellegrino, D.C.
• Jody Lynn Pelletier, BSW
• Amanda Percival
• Margaret Ellen Perri, ED.D, APRN
• Perspective Learning Inc
• Janae Peters
• Elizabeth Porter Peterson, D.C.

• Physician Assistant in Greenfield, MA
• Providers in Greenfield, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.