ANISSA LYNN FULLER LISW
NPI 1417123068
Social Worker - Clinical in Dover, OH
About Anissa Lynn Fuller Lisw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANISSA LYNN FULLER LISW (NPI 1417123068) is an individual clinical provider in Dover, Ohio, licensed in Ohio (I. 0008627) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Anissa Lynn Fuller Lisw 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.
Medicare Billing Reassignments
2Medicare enrollment records show Anissa Fuller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wooster, OH 44691
- Reassigned Medicare billing, Ohio enrollment
- 4 clinicians in this Medicare group
Pierre, SD 57501
- Reassigned Medicare billing, South Dakota enrollment
- 56 clinicians in this Medicare group
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 44622 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DOVER, OH 44622
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 Anissa Fuller's NPI number?
The NPI number for Anissa Fuller is 1417123068. It was assigned to this individual provider in the NPPES registry on May 5, 2008.
Where is Anissa Fuller located?
Anissa Fuller practices at 201 Hospital Dr, Dover, OH 44622. The listed phone number is (330) 343-6631.
What is Anissa Fuller's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Anissa Fuller enrolled in Medicare?
Yes. Anissa 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.
Which organizations bill Medicare for Anissa Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anissa Fuller reassigns Medicare benefits to 2 organizations: Summit Therapy Center LLC (Wooster, OH) and Rising Hope Counseling, LLC (Pierre, SD). Each 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 Anissa Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anissa Fuller accept?
Health plans from Avera Health Plans, CareSource, MedMutual, Sanford Health Plan and UnitedHealthcare and 1 other insurer list Anissa 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 Anissa Fuller was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Anissa Lynn Fuller, LISW · NPI 1417123068
Clinical provider in Dover, Ohio. Individual provider, active in the CMS NPPES registry since May 5, 2008.
## Identity
- **NPI:** 1417123068 (Entity type: Individual)
- **Enumerated:** May 5, 2008
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** I. 0008627 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 HOSPITAL DR, Dover, OH 44622-2058
- **Phone:** (330) 343-6631 · **Fax:** (330) 343-8188
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Summit Therapy Center LLC (NPI 1093856494, Wooster, OH); Rising Hope Counseling, LLC (NPI 1780190967, Pierre, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** May 5, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1417123068) · Data from the CMS NPPES public registry.