MS. CHRISTY GAIL FULLER LICSW
NPI 1912451808
Social Worker - Clinical in Renton, WA
About Ms. Christy Gail Fuller Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CHRISTY GAIL FULLER LICSW (NPI 1912451808) is an individual clinical provider in Renton, Washington, licensed in Washington (LW00004869) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Christy Gail Fuller Licsw 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 Reassignments
2Medicare enrollment records show Christy Fuller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wichita, KS 67202
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Sondermind PA
- 92 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Washington enrollment
- 128 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 98057 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RENTON, WA 98057
RENTON, WA 98057
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 Christy Fuller's NPI number?
The NPI number for Christy Fuller is 1912451808. It was assigned to this individual provider in the NPPES registry on August 8, 2016.
Where is Christy Fuller located?
Christy Fuller practices at 955 Powell Ave SW, Renton, WA 98057. The listed phone number is (425) 203-0972.
What is Christy Fuller's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Christy Fuller enrolled in Medicare?
Yes. Christy 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 organizations bill Medicare for Christy Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christy Fuller reassigns Medicare benefits to 2 organizations: Sondermind, P.A. (Wichita, KS) and Mental Health Specialty Group PA (Durham, NC). 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 Christy Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Christy Fuller accept?
Health plans from Ambetter Health, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Christy 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 Christy Fuller was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ms. Christy Gail Fuller, LICSW · NPI 1912451808
Clinical provider in Renton, Washington. Individual provider, active in the CMS NPPES registry since August 8, 2016.
## Identity
- **NPI:** 1912451808 (Entity type: Individual)
- **Enumerated:** August 8, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LW00004869 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 955 POWELL AVE SW, Renton, WA 98057-2908
- **Phone:** (425) 203-0972 · **Fax:** (425) 277-1566
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sondermind, P.A. (NPI 1710647581, Wichita, KS); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** August 8, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1912451808) · Data from the CMS NPPES public registry.