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

Q: 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.

Q: What is Jason Fullmer's specialty?

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

Q: 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.

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: October 18, 2026.

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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

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jason Fullmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central PA Spinal Health Chiropractic, LLC

Same address

Chiropractor

21 N 4TH ST
Harrisburg, PA 17101

Reassigned Medicare billing, Pennsylvania enrollment

NPI 1356522619 (717) 233-3476

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

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.

Which organization bills Medicare for Jason Fullmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Fullmer reassigns Medicare benefits to Central PA Spinal Health Chiropractic, LLC (Harrisburg, PA). 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 Jason Fullmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.