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DR. STEPHANIE M FULLER PH.D.
NPI 1639418494
Specialist in Yankton, SD

Active since February 13, 2013PECOS EnrolledAccepts Medicare Assignment
3515 BROADWAY AVE., YANKTON, SD 57078(605) 668-3100(605) 668-3460 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephanie M Fuller Ph.d. NPPES

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

DR. STEPHANIE M FULLER PH.D. (NPI 1639418494) is an individual specialist in Yankton, South Dakota, licensed in South Dakota (427) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1639418494
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. STEPHANIE M FULLERCredential: PH.D.
Location Address3515 BROADWAY AVE.Yankton, SD 57078-7600
Mailing AddressPo Box 7600, 3515 Broadway Ave.Yankton, SD 57078-7600 · (605) 668-3100 · Fax (605) 668-3460
Phone(605) 668-3100
Fax(605) 668-3460
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 13, 2013
✔ NPI 1639418494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SD · 427
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3515 BROADWAY AVE., Yankton, SD 57078
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.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. Stephanie M Fuller Ph.d. 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 ID8729030176
PECOS Enrollment IDI20230710003474
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 2

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

ELIZABETH KEMPER EGGERS MSN, FNP-C
Nurse Practitioner (Family)
3515 BROADWAY AVE.
YANKTON, SD 57078
Cedar County (605) 668-3100
MS. BETTY ANN HULSE PAC
Psychiatric Hospital
3515 BROADWAY AVE.
YANKTON, SD 57078
Cedar County (605) 668-3100

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 Stephanie Fuller's NPI number?

The NPI number for Stephanie Fuller is 1639418494. It was assigned to this individual provider in the NPPES registry on February 13, 2013.

Where is Stephanie Fuller located?

Stephanie Fuller practices at 3515 Broadway Ave., Yankton, SD 57078. The listed phone number is (605) 668-3100.

What is Stephanie Fuller's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Stephanie Fuller enrolled in Medicare?

Yes. Stephanie 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.

What insurance does Stephanie Fuller accept?

Health plans from Avera Health Plans list Stephanie 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 Stephanie Fuller was last updated on February 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.