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JENNIFER SHEA FILLMORE LMSW
NPI 1396877411
Social Worker - Clinical in Mesa, AZ

Active since March 12, 2007PECOS EnrolledAccepts Medicare Assignment
1910 S STAPLEY DR STE 209, MESA, AZ 85204(480) 351-8020 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 7, 2025, Nov 9, 2023 (2 updates tracked since 2023).

About Jennifer Shea Fillmore Lmsw NPPES

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

JENNIFER SHEA FILLMORE LMSW (NPI 1396877411) is an individual clinical provider in Mesa, Arizona, licensed in Arizona (LCSW-23339) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1396877411
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER SHEA FILLMORECredential: LMSW
Location Address1910 S STAPLEY DR STE 209Mesa, AZ 85204-6679
Mailing Address1910 S Stapley DrMesa, AZ 85204-6674 · (480) 351-8020
Phone(480) 351-8020
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 12, 2007
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1396877411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AZ · LCSW-23339
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1910 S STAPLEY DR STE 209, Mesa, AZ 85204
Open in Google Maps ↗

Other Names 1

Other Name (5)Jennifer Shea Trifari

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.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

Jennifer Shea Fillmore Lmsw 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 ID4486147618
PECOS Enrollment IDI20251204004916
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 Jennifer Fillmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Care Center, LLC
Same address
Psychiatry
1910 S STAPLEY DR STE 209
Mesa, AZ 85204
  • Reassigned Medicare billing, Arizona enrollment
  • 97 clinicians in this Medicare group
NPI 1598535288 (719) 540-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

REBECCA WIGTON MA, LPC
Counselor (Professional)
1910 S STAPLEY DR STE 209
MESA, AZ 85204
Maricopa County (480) 351-8020
MRS. TRACY NICKOL CONNOR PA-C
Physician Assistant
1910 S STAPLEY DR STE 209
MESA, AZ 85204
Maricopa County (480) 351-8020
KARLEE BRANDT CANNELL
Social Worker (Clinical)
1910 S STAPLEY DR STE 209
MESA, AZ 85204
Maricopa County (888) 374-5066
DOLLMARIE ADORNO RONDON
Counselor (Mental Health)
1910 S STAPLEY DR STE 209
MESA, AZ 85204
Maricopa County (480) 351-8020
JORDAN JESSICA FIELD
Social Worker (Clinical)
1910 S STAPLEY DR STE 209
MESA, AZ 85204
Maricopa County (480) 351-8020
MR. JEFFERY TAYLOR LCSW
Social Worker (Clinical)
1910 S STAPLEY DR STE 209
MESA, AZ 85204
Maricopa County (480) 351-8020
BRENDA CHANEL DEMAYO LMFT
Marriage & Family Therapist
1910 S STAPLEY DR STE 209
MESA, AZ 85204
Maricopa County (888) 374-5066
DR. RONIT LIBY COHEN M.D.
Psychiatry & Neurology (Psychiatry)
1910 S STAPLEY DR STE 209
MESA, AZ 85204
Maricopa County (480) 351-8020

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 Jennifer Fillmore's NPI number?

The NPI number for Jennifer Fillmore is 1396877411. It was assigned to this individual provider in the NPPES registry on March 12, 2007. The provider is also known as Jennifer Shea Trifari.

Where is Jennifer Fillmore located?

Jennifer Fillmore practices at 1910 S Stapley Dr Ste 209, Mesa, AZ 85204. The listed phone number is (480) 351-8020.

What is Jennifer Fillmore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jennifer Fillmore enrolled in Medicare?

Yes. Jennifer Fillmore 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 organization bills Medicare for Jennifer Fillmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Fillmore reassigns Medicare benefits to Family Care Center, LLC (Mesa, AZ). 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 Jennifer Fillmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Fillmore accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Jennifer Fillmore 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 Jennifer Fillmore was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.