PAIGE FULLRIEDE LDN
NPI 1548044670
Dietitian, Registered in Springfield, IL

Q: What is Paige Fullriede's NPI number?

The NPI number for Paige Fullriede is 1548044670. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Q: What is Paige Fullriede's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Paige Fullriede was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 21, 2023Accepts Medicare Assignment

1118 W LEGACY POINTE DR, SPRINGFIELD, IL 62711(217) 787-8870(217) 787-6158 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Paige Fullriede Ldn NPPES

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

PAIGE FULLRIEDE LDN (NPI 1548044670) is an individual dietitian, registered in Springfield, Illinois, licensed in Illinois (164.009255) and active in the NPI registry since August 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1548044670

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NamePAIGE FULLRIEDECredential: LDN

Location Address1118 W LEGACY POINTE DRSpringfield, IL 62711-6444

Mailing Address1118 W Legacy Pointe DrSpringfield, IL 62711-6444 · (217) 787-8870 · Fax (217) 787-6158

Phone(217) 787-8870

Fax(217) 787-6158

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 21, 2023

NPPES CertifiedAugust 21, 2023

✔ NPI 1548044670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IL · 164.009255

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1118 W LEGACY POINTE DR, Springfield, IL 62711

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Paige Fullriede Ldn 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 ID3678927357

PECOS Enrollment IDI20230928003064

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for nutrition management, each 15 minutes 97802

This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.

84 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62711 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 $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

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 4

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

POORNIMA JAYARAMAIAH MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1118 W LEGACY POINTE DR
SPRINGFIELD, IL 62711

Sangamon County (217) 787-8870

EMILY NIELSEN FNP

Nurse Practitioner (Family)

1118 W LEGACY POINTE DR
SPRINGFIELD, IL 62711

Sangamon County (217) 787-8870

MS. JUDY MARIE TONRY APRN,BC

Nurse Practitioner

1118 W LEGACY POINTE DR
SPRINGFIELD, IL 62711

Sangamon County (217) 787-8870

RAMA POOLA MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1118 W LEGACY POINTE DR
SPRINGFIELD, IL 62711

Sangamon County (217) 787-8870

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 Paige Fullriede's NPI number?

The NPI number for Paige Fullriede is 1548044670. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Paige Fullriede located?

Paige Fullriede practices at 1118 W Legacy Pointe Dr, Springfield, IL 62711. The listed phone number is (217) 787-8870.

What is Paige Fullriede's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Paige Fullriede enrolled in Medicare?

Yes. Paige Fullriede 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 Paige Fullriede accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Paige Fullriede 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 Paige Fullriede was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.