DR. MARLYSSA RAE FILLMORE PHD
NPI 1831741461
Psychologist in Columbus, IN
About Dr. Marlyssa Rae Fillmore Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARLYSSA RAE FILLMORE PHD (NPI 1831741461) is an individual psychologist in Columbus, Indiana, licensed in Indiana (20043326A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 4
Accepted 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. Marlyssa Rae Fillmore Phd 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.
Medicare Billing Reassignment
Medicare enrollment records show Marlyssa Fillmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indianapolis, IN 46250
- Reassigned Medicare billing, Indiana enrollment
- 14 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.
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 Marlyssa Fillmore's NPI number?
The NPI number for Marlyssa Fillmore is 1831741461. It was assigned to this individual provider in the NPPES registry on July 13, 2019.
Where is Marlyssa Fillmore located?
Marlyssa Fillmore practices at 4980 Hunters Run, Columbus, IN 47201. The listed phone number is (812) 552-1499.
What is Marlyssa Fillmore's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Marlyssa Fillmore enrolled in Medicare?
Yes. Marlyssa Fillmore 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 Marlyssa Fillmore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marlyssa Fillmore reassigns Medicare benefits to Be Authentic Indy LLC (Indianapolis, IN). 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 Marlyssa Fillmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marlyssa Fillmore accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Marlyssa 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 Marlyssa Fillmore was last updated on October 23, 2024. 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.