Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316410368 Individual Practitioner Female Practitioner

Dr. Kassy Jo Fuller , DC

Chiropractor • Antigo, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kassy Fuller, DC is a certified Chiropractor practicing in Antigo, WI. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Fuller delivers high-quality medical care to the local community at 2006 PROGRESS BLVD.

Dr. Fuller is affiliated with Cornerstone Chiropractic Of Antigo Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2006 Progress Blvd

Antigo, WI 544092475

Telephone 7156235481
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Antigo, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -16.6 yrs vs City Avg
City Avg: 24.6 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Antigo, WI (2664 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fuller (8 Years) 8 Yrs
Antigo Specialty Average (24.6 Years) 24.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
465 43 $62.00 $37.37

Medical Specialties & State Licenses

CMS Verified: 2024-05-07
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WI 5664-12

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License WA 60892858

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Chiropractic License
60892858 (WA)

Hospital & Practice Group Affiliations

Cornerstone Chiropractic Of Antigo Llc

2006 Progress Blvd, Antigo, WI 544092475

Phone: 7156235481

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1053595777

Doctor of Chiropractic

NPI 1114000213

Doctor of Chiropractic

NPI 1215209283

Doctor of Chiropractic

Kayleigh Parilek , LMT

Massage Therapist

NPI 1811752397

Licensed Massage Therapist

Erin Desjarlais , LMT

Massage Therapist

NPI 1891300836

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 07, 2024

Registered at 2006 PROGRESS BLVD, ANTIGO, WI 544092475 (Tel: 7156235481)

📍
Updated Business Mailing Address May 07, 2024

Registered at 2006 PROGRESS BLVD, ANTIGO, WI 544092475 (Tel: 7156235481)

NPI Profile Active January 02, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2019

Registered at 8325 212TH ST SW STE 103, EDMONDS, WA 980267435 (Tel: 4257764224)

📍
Updated Business Mailing Address January 02, 2019

Registered at 21513 48TH AVE W APT C201, MOUNTLAKE TERRACE, WA 980435957 (Tel: 9206154912)

👤
Provider Name / Credentials Updated January 02, 2019

Recorded as KASSY FULLER, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2019

Chiropractor (License #60892858 in WA)

🟢
Initial NPI Registration & Enumeration January 02, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316410368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2019
Last Update: May 07, 2024
Sole Proprietor: No

Mailing Address

2006 Progress Blvd

Antigo, WI 544092475

Phone: 7156235481

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.