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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: October 18, 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, Wellmark of South Dakota, Inc..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

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.

Medicare Billing Reassignment

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

Lewis & Clark Behavioral Health Services, Inc.
0.8 mi
Community/Behavioral Health
3111 SHIRLEY BRIDGE AVE
Yankton, SD 57078
  • Reassigned Medicare billing, South Dakota enrollment
  • 14 clinicians in this Medicare group
NPI 1215918339 (605) 665-4606

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 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.

Which organization bills Medicare for Stephanie Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Fuller reassigns Medicare benefits to Lewis & Clark Behavioral Health Services, Inc. (Yankton, SD). 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 Stephanie Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Fuller accept?

Health plans from Avera Health Plans and Wellmark of South Dakota, Inc. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.