MS. JOANN FULLER
NPI 1275803702
Counselor - Mental Health in Portland, ME
About Ms. Joann Fuller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JOANN FULLER (NPI 1275803702) is an individual mental health provider in Portland, Maine, licensed in Maine (XL3862) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Joann Fuller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Joann Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saco, ME 04072
- Reassigned Medicare billing, Maine enrollment
- 200 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Joann Fuller's NPI number?
The NPI number for Joann Fuller is 1275803702. It was assigned to this individual provider in the NPPES registry on December 30, 2011.
Where is Joann Fuller located?
Joann Fuller practices at 470 Forest Ave Suite 202, Portland, ME 04101. The listed phone number is (207) 774-3570.
What is Joann Fuller's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Joann Fuller enrolled in Medicare?
Yes. Joann Fuller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Joann Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joann Fuller reassigns Medicare benefits to Sweetser (Saco, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joann Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Joann Fuller was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Ms. Joann Fuller · NPI 1275803702
Mental Health provider in Portland, Maine. Individual provider, active in the CMS NPPES registry since December 30, 2011.
## Identity
- **NPI:** 1275803702 (Entity type: Individual)
- **Enumerated:** December 30, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** XL3862 (Maine)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 470 FOREST AVE, SUITE 202, Portland, ME 04101
- **Phone:** (207) 774-3570 · **Fax:** (207) 774-3540
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sweetser (NPI 1538122445, Saco, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1275803702) · Data from the CMS NPPES public registry.