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

Q: 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.

Q: 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.

Q: 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 3 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.

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: August 09, 2026.

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

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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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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