ANNA R FULLMER MSSW, LCSW
NPI 1306897467
Social Worker - Clinical in Wautoma, WI

Q: What is Anna Fullmer's NPI number?

The NPI number for Anna Fullmer is 1306897467. It was assigned to this individual provider in the NPPES registry on May 13, 2006. The provider is also known as Barbara J Fullmer Mssw, Lcsw.

Q: What is Anna Fullmer'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 Anna Fullmer was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 13, 2006PECOS Enrolled

400 S TOWNLINE RD, WAUTOMA, WI 54982(920) 787-5514 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2024, Aug 16, 2021 (2 updates tracked since 2021).

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About Anna R Fullmer Mssw, Lcsw NPPES

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

ANNA R FULLMER MSSW, LCSW (NPI 1306897467) is an individual clinical provider in Wautoma, Wisconsin, licensed in Wisconsin (6573-123) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306897467

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANNA R FULLMERCredential: MSSW, LCSW

Location Address400 S TOWNLINE RDWautoma, WI 54982-6922

Mailing Address400 S Townline RdWautoma, WI 54982-6922 · (920) 787-5514

Phone(920) 787-5514

Sole ProprietorNo

Enumeration DateMay 13, 2006

Last NPPES UpdateJune 13, 20242 updates tracked since enumeration

NPPES CertifiedJune 13, 2024

✔ NPI 1306897467 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 WI · 6573-123

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.

400 S TOWNLINE RD, Wautoma, WI 54982

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Other Names 1

Former Name (1)Barbara J Fullmer Mssw, Lcsw

Other Identifiers 1

Medicaid39797500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna R Fullmer Mssw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Anna Fullmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Clinica De Los Campesinos, Inc

34 mi

Federally Qualified Health Center (FQHC)

2501 MAIN ST
Stevens Point, WI 54481

Reassigned Medicare billing, Wisconsin enrollment
25 clinicians in this Medicare group

NPI 1790786929 (715) 254-9072

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54982 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 $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 20

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

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