CASSEY JO FULLER
NPI 1396434718
Student in an Organized Health Care Education/Training Program in Mason City, IA

Active since May 02, 2023PECOS Enrolled
1010 4TH ST SW STE 340, MASON CITY, IA 50401(641) 428-7766(641) 428-7788 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 20, 2026, Jul 24, 2023, May 2, 2023 (3 updates tracked since 2023).

  • Individual
  • Female
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About CASSEY JO FULLER

This page provides the complete NPI Profile along with additional information for Cassey Jo Fuller, a primary care provider established in Mason City, Iowa with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1396434718 assigned on May 2023. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated April 2026.

NPI
1396434718 Verify this NPI
Provider Name
CASSEY JO FULLER
Gender
Female
Entity Type
Individual
Location Address
1010 4TH ST SW STE 340 MASON CITY, IA 50401
Location Phone
(641) 428-7766
Location Fax
(641) 428-7788
Mailing Address
600 1ST ST NW STE 101 MASON CITY, IA 50401
Is Sole Proprietor?
No
Enumeration Date
05-02-2023
Last Update Date
04-20-2026
Code Navigator

A primary care provider (PCP) like Cassey Jo Fuller sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 975 9th Ave SW Ste 310
    Bessemer, AL 35022
    (205) 277-2358

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

DO.4577 (AL)

Medicare Participation & PECOS Enrollment Status

Cassey Jo Fuller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for CASSEY JO FULLER

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Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Family Medicine
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Family Medicine
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Family Medicine
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Family Medicine
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Family Medicine
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Family Medicine
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Family Medicine
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Family Medicine
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW STE 340
MASON CITY, IA 50401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396434718, enumerated as an "individual" on May 02, 2023.

The provider is located at 1010 4TH ST SW STE 340 MASON CITY, IA 50401 and the phone number is (641) 428-7766.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.