KASSY JO FULLER DC
NPI 1316410368
Chiropractor in Antigo, WI

Active since January 02, 2019Accepts Medicare Assignment
2006 PROGRESS BLVD, ANTIGO, WI 54409(715) 623-5481 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2024, Jan 2, 2019 (2 updates tracked since 2019).

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

NPI1316410368
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameKASSY JO FULLERCredential: DC
Location Address2006 PROGRESS BLVDAntigo, WI 54409-2475
Mailing Address2006 Progress BlvdAntigo, WI 54409-2475 · (715) 623-5481
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 2, 2019
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
NPI 1316410368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in WI · 5664-12 Licensed in WA · 60892858
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2006 PROGRESS BLVD, Antigo, WI 54409

Other Identifiers 1

Other60892858WA · Chiropractic License

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

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.

PECOS PAC ID2062752736
PECOS Enrollment IDI20210817000817

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
465 services43 patients

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.

Chiropractor
2006 PROGRESS BLVD
ANTIGO, WI 54409
Chiropractor
2006 PROGRESS BLVD
ANTIGO, WI 54409
Chiropractor
2006 PROGRESS BLVD
ANTIGO, WI 54409
Massage Therapist
2006 PROGRESS BLVD
ANTIGO, WI 54409
Chiropractor
2006 PROGRESS BLVD
ANTIGO, WI 54409
Massage Therapist
2006 PROGRESS BLVD
ANTIGO, WI 54409
Chiropractor
2006 PROGRESS BLVD
ANTIGO, WI 54409

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.

What insurance does Kassy Fuller accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Medica 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 with the weekly NPPES data releases published by CMS.