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DR. JASON MICHAEL FULLMER DC
NPI 1417985227
Chiropractor in Harrisburg, PA

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
21 NORTH 4TH STREET, HARRISBURG, PA 17101(717) 233-3476(717) 796-2409 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jason Michael Fullmer Dc NPPES

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

DR. JASON MICHAEL FULLMER DC (NPI 1417985227) is an individual chiropractor in Harrisburg, Pennsylvania, licensed in Pennsylvania (009494) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Life Chiropractic College - West (2005).

NPPES Registry Identity

NPI1417985227
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JASON MICHAEL FULLMERCredential: DC
Location Address21 NORTH 4TH STREETHarrisburg, PA 17101
Mailing Address463 Delancey CourtMechanicsburg, PA 17055 · (717) 460-3422 · Fax (717) 796-2409
Phone(717) 233-3476
Fax(717) 796-2409
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 2005
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417985227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · 009494
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
21 NORTH 4TH STREET, Harrisburg, PA 17101
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Other Identifiers 4

OtherFU1813015PA · Highmark
Other50058252PA · Capital Blue Cross
Medicare UPINV08696
Medicare ID-Type Unspecified099493PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jason Michael Fullmer Dc 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 ID5092722769
PECOS Enrollment IDI20060324000275
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

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

STRUCTURAL DISORDERS OF THE SPINE
Chiropractor
21 NORTH 4TH STREET
HARRISBURG, PA 17101
Dauphin County (717) 233-3476

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 Jason Fullmer's NPI number?

The NPI number for Jason Fullmer is 1417985227. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Jason Fullmer located?

Jason Fullmer practices at 21 North 4th Street, Harrisburg, PA 17101. The listed phone number is (717) 233-3476.

What is Jason Fullmer's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jason Fullmer enrolled in Medicare?

Yes. Jason Fullmer 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.

What insurance does Jason Fullmer accept?

Health plans from Providence Health Plan list Jason Fullmer 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 Jason Fullmer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.