DR. PAMELA R FULLER PHD
NPI 1053469452
Psychologist in Evanston, WY

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
724 FRONT STREET SUITE 230, EVANSTON, WY 82930(307) 789-6773(307) 789-3244 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Pamela R Fuller Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAMELA R FULLER PHD (NPI 1053469452) is an individual psychologist in Evanston, Wyoming, licensed in Wyoming (307) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1053469452
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. PAMELA R FULLERCredential: PHD
Location Address724 FRONT STREET SUITE 230Evanston, WY 82930
Mailing Address724 Front Street Suite 230Evanston, WY 82930 · (307) 789-6773 · Fax (307) 789-3244
Fax(307) 789-3244
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1053469452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WY · 307
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

724 FRONT STREET SUITE 230, Evanston, WY 82930

Other Identifiers 1

Medicare ID-Type Unspecified304415WY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Pamela R Fuller Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244323566
PECOS Enrollment IDI20251027001594
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Fuller's NPI number?

The NPI number for Pamela Fuller is 1053469452. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Pamela Fuller located?

Pamela Fuller practices at 724 Front Street Suite 230, Evanston, WY 82930. The listed phone number is (307) 789-6773.

What is Pamela Fuller's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Pamela Fuller enrolled in Medicare?

Yes. Pamela Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pamela Fuller accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Pamela Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pamela Fuller was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.