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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: November 01, 2026.

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

About Cassey Jo Fuller NPPES

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

CASSEY JO FULLER (NPI 1396434718) is an individual student in an organized health care education/training program in Mason City, Iowa and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bessemer.

NPPES Registry Identity

NPI1396434718
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCASSEY JO FULLER
Location Address1010 4TH ST SW STE 340Mason City, IA 50401-2856
Mailing Address600 1st St Nw Ste 101Mason City, IA 50401-2932
Phone(641) 428-7766
Fax(641) 428-7788
Sole ProprietorNo
Enumeration DateMay 2, 2023
Last NPPES UpdateApril 20, 20263 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1396434718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License DO.4577 (AL)
1010 4TH ST SW STE 340, Mason City, IA 50401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1975 9th Ave SW Ste 310Bessemer, AL 35022-7839 · Phone (205) 277-2358

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassey Jo Fuller 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 Cassey Jo Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cahaba Medical Care Foundation
777 mi
Multi-Specialty
294 PIERSON AVENUE
Centreville, AL 35042
  • Reassigned Medicare billing, Alabama enrollment
  • 217 clinicians in this Medicare group
NPI 1093058133 (205) 926-2992

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 16

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

AMANDA TRAN MD
Family Medicine
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Cerro Gordo County (641) 428-7766
TALIA ROSA RANKIN RAMOS
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Cerro Gordo County (641) 428-7766
AZKA AISHA MD
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Cerro Gordo County (641) 428-7766
HAZEL HERNANDEZ MD
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Cerro Gordo County (641) 428-7766
DR. JERROLD L WHITE MD
Family Medicine
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Cerro Gordo County (641) 422-7766
DR. GRANT LANDON DO
Family Medicine
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Cerro Gordo County (641) 428-7766
ANNU MINHAS MD
Family Medicine
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Cerro Gordo County (641) 428-7766
LYELL R HOGG DDS
Dentist (Oral and Maxillofacial Surgery)
1010 4TH ST SW STE 340
MASON CITY, IA 50401
Cerro Gordo County (641) 424-1656

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 Cassey Jo Fuller's NPI number?

The NPI number for Cassey Jo Fuller is 1396434718. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Where is Cassey Jo Fuller located?

Cassey Jo Fuller practices at 1010 4th St SW Ste 340, Mason City, IA 50401. The listed phone number is (641) 428-7766.

What is Cassey Jo Fuller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cassey Jo Fuller enrolled in Medicare?

Yes. Cassey Jo Fuller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cassey Jo Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassey Jo Fuller reassigns Medicare benefits to Cahaba Medical Care Foundation (Centreville, AL). 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 Cassey Jo Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cassey Jo Fuller accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Cassey Jo 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 Cassey Jo Fuller was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.