DR. CAPRI MARA FILLMORE MD
NPI 1649472010
Family Medicine in Arcadia, WI
About Dr. Capri Mara Fillmore Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAPRI MARA FILLMORE MD (NPI 1649472010) is an individual family medicine provider in Arcadia, Wisconsin, licensed in Wisconsin (43268) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 9
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Capri Mara Fillmore Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Capri Fillmore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Novi, MI 48375
- Reassigned Medicare billing, Wisconsin enrollment
- 32 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Wisconsin enrollment
- 7 clinicians in this Medicare group
Polacca, AZ 86042
- Reassigned Medicare billing, Texas enrollment
- 199 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ARCADIA, WI 54612
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 Capri Fillmore's NPI number?
The NPI number for Capri Fillmore is 1649472010. It was assigned to this individual provider in the NPPES registry on June 5, 2007.
Where is Capri Fillmore located?
Capri Fillmore practices at 464 S Saint Joseph Ave, Arcadia, WI 54612. The listed phone number is (608) 323-3341.
What is Capri Fillmore's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Capri Fillmore enrolled in Medicare?
Yes. Capri Fillmore is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Capri Fillmore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Capri Fillmore reassigns Medicare benefits to 3 organizations: Theoria Medical (Novi, MI), Complexcare Medical Group Midwest M PLLC (Novi, MI) and Dhhs Ihs Phoenix Area (Polacca, AZ). Each 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 Capri Fillmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Capri Fillmore accept?
Health plans from CareSource (Common Ground Healthcare) list Capri Fillmore 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 Capri Fillmore was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Capri Mara Fillmore, MD · NPI 1649472010
Family Medicine physician in Arcadia, Wisconsin. Individual provider, active in the CMS NPPES registry since June 5, 2007.
## Identity
- **NPI:** 1649472010 (Entity type: Individual)
- **Enumerated:** June 5, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 43268 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 464 S SAINT JOSEPH AVE, Arcadia, WI 54612-1401
- **Phone:** (608) 323-3341
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Theoria Medical (NPI 1609362375, Novi, MI); Complexcare Medical Group Midwest M PLLC (NPI 1528851607, Novi, MI); Dhhs Ihs Phoenix Area (NPI 1356628028, Polacca, AZ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2012
- **Other identifiers:** Other HSZ196 (NM); Medicare ID-Type Unspecified 320070; Medicaid K3526 (NM); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1649472010) · Data from the CMS NPPES public registry.