ADAM K FULLER PH.D.
NPI 1255476131
Psychologist - Clinical in Evanston, WY

Active since February 20, 2007PECOS EnrolledAccepts Medicare Assignment
191 OVERTHRUST RD, EVANSTON, WY 82930(435) 631-9918 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adam K Fuller Ph.d. NPPES

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

ADAM K FULLER PH.D. (NPI 1255476131) is an individual clinical provider in Evanston, Wyoming, licensed in Wyoming (306) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Park City, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1255476131
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameADAM K FULLERCredential: PH.D.
Location Address191 OVERTHRUST RDEvanston, WY 82930-9261
Mailing Address235 Hayden AveEvanston, WY 82930-5606 · (435) 631-9918
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 20, 2007
Last NPPES UpdateMarch 29, 2018
NPI 1255476131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in WY · 306
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
191 OVERTHRUST RD, Evanston, WY 82930

Secondary Practice Location 1

Location 12078 Prospector AvePark City, UT 84060-7321 · Phone (435) 631-9918

Other Identifiers 1

Medicaid118774100WY

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

Adam K Fuller Ph.d. 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 ID9537206230
PECOS Enrollment IDI20091029000372, I20251006003204
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 82930 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
$170.72 typical visit price
range $56.42 – $170.72
Typical copayment $42.68 (range $14.10 – $42.68)
Most-billed visit code 99205
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
Most-billed visit code 99214
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 8

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

Surgery
191 OVERTHRUST RD
EVANSTON, WY 82930
Clinic/Center (Mental Health (Including Community Mental Health Center))
191 OVERTHRUST RD
EVANSTON, WY 82930
Nurse Practitioner (Family)
191 OVERTHRUST RD
EVANSTON, WY 82930
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
191 OVERTHRUST RD
EVANSTON, WY 82930
Otolaryngology
191 OVERTHRUST RD
EVANSTON, WY 82930
Nurse Practitioner (Family)
191 OVERTHRUST RD
EVANSTON, WY 82930
Clinical Medical Laboratory
191 OVERTHRUST RD
EVANSTON, WY 82930
Nurse Practitioner (Family)
191 OVERTHRUST RD
EVANSTON, WY 82930

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 Adam Fuller's NPI number?

The NPI number for Adam Fuller is 1255476131. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Adam Fuller located?

Adam Fuller practices at 191 Overthrust Rd, Evanston, WY 82930. The listed phone number is (435) 631-9918.

What is Adam Fuller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Adam Fuller enrolled in Medicare?

Yes. Adam 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 Adam Fuller accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Adam 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 Adam Fuller was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.