MRS. JENNIFER FULLER
NPI 1053962647
Social Worker - Clinical in Jackson, MI

Q: What is Jennifer Fuller's NPI number?

The NPI number for Jennifer Fuller is 1053962647. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Q: What is Jennifer Fuller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Fuller was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 25, 2019PECOS EnrolledAccepts Medicare Assignment

2652 SPRING ARBOR RD, JACKSON, MI 49203(517) 960-9023 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Jennifer Fuller NPPES

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

MRS. JENNIFER FULLER (NPI 1053962647) is an individual clinical provider in Jackson, Michigan, licensed in Michigan (6801101652) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053962647

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. JENNIFER FULLER

Location Address2652 SPRING ARBOR RDJackson, MI 49203-3604

Mailing Address531 N Pleasant StJackson, MI 49202-3623 · (517) 960-9023

Phone(517) 960-9023

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 25, 2019

✔ NPI 1053962647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801101652

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2652 SPRING ARBOR RD, Jackson, MI 49203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.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

Mrs. Jennifer Fuller 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 ID7315481785

PECOS Enrollment IDI20240627000721

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RISE AND RENEW COUNSELING SERVICES LLC

Counselor (Mental Health)