KASSY JO FULLER DC
NPI 1316410368
Chiropractor in Antigo, WI
About Kassy Jo Fuller Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KASSY JO FULLER DC (NPI 1316410368) is an individual chiropractor in Antigo, Wisconsin, licensed in Wisconsin (5664-12) and active in the NPI registry since January 2019. She is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kassy Jo Fuller Dc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kassy Fuller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Antigo, WI 54409
- Reassigned Medicare billing, Wisconsin enrollment
- 2 clinicians in this Medicare group
Shawano, WI 54166
- Reassigned Medicare billing, Wisconsin enrollment
- 4 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Kassy Fuller's NPI number?
The NPI number for Kassy Fuller is 1316410368. It was assigned to this individual provider in the NPPES registry on January 2, 2019.
Where is Kassy Fuller located?
Kassy Fuller practices at 2006 Progress Blvd, Antigo, WI 54409. The listed phone number is (715) 623-5481.
What is Kassy Fuller's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kassy Fuller enrolled in Medicare?
Yes. Kassy 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.
Which organizations bill Medicare for Kassy Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kassy Fuller reassigns Medicare benefits to 2 organizations: Cornerstone Chiropractic Of Antigo LLC (Antigo, WI) and Cornerstone Chiropractic & Wellness LLC (Shawano, WI). Each 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 Kassy Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kassy Fuller accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Kassy 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 Kassy Fuller was last updated on May 7, 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.
# Kassy Jo Fuller, DC · NPI 1316410368
Chiropractor provider in Antigo, Wisconsin. Individual provider, active in the CMS NPPES registry since January 2, 2019.
## Identity
- **NPI:** 1316410368 (Entity type: Individual)
- **Enumerated:** January 2, 2019
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5664-12 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2006 PROGRESS BLVD, Antigo, WI 54409-2475
- **Phone:** (715) 623-5481
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cornerstone Chiropractic Of Antigo LLC (NPI 1447030853, Antigo, WI); Cornerstone Chiropractic & Wellness LLC (NPI 1841537701, Shawano, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 7, 2024
- **Other identifiers:** Other 60892858 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1316410368) · Data from the CMS NPPES public registry.