Kassy Jo Fuller, DC
NPI 1316410368ActiveIndividual· Chiropractor· Antigo, WI
Chiropractor (DC) with Cornerstone Chiropractic of Antigo LLC, practicing in Antigo, Wisconsin. Medicare paid $13,410 for services to 43 patients in 2024.
Overview
| NPI | 1316410368 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DC |
| Sole proprietor | No |
| NPI issued | Jan 2, 2019 |
| Last updated in NPPES | May 7, 2024 |
| Certified by provider | May 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 5664-12 | WI |
| Chiropractor | 111N00000X | 60892858 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 43 |
|---|---|
| Services billed | 465 across 1 procedure code |
| Paid by Medicare | $13,410 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Chiropractic |
Medical group
- Cornerstone Chiropractic of Antigo LLCAntigo, WI · 2 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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