DR. MARLYSSA RAE FILLMORE (PHD) – Psychologist, NPI 1831741461
Psychologist
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
450 CLINICAL PSYCHOLOGIST in IN
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Provider Addresses for DR. MARLYSSA RAE FILLMORE (PHD)
1040 SIERRA DR STE 400
GREENWOOD, IN 461437241
Phone: (317) 528-4800
Type: Mailing
1910, Michigan Box Company, Detroit, Wayne County, Michigan, 48211, United States
DETROIT, MI 482781076
Phone: (317) 528-4800
Type: Mailing
2050, Doctors Park Drive, North Columbus, Columbus, Bartholomew County, Indiana, 47203, United States
COLUMBUS, IN 472032221
Phone: (812) 947-8976
Type: Location
4020 W GOELLER BLVD
ELLIE MENTAL HEALTH
COLUMBUS, IN 472018499
Phone: (812) 552-1499
Type: Mailing
4980 HUNTERS RUN
COLUMBUS, IN 472018499
Phone: (812) 552-1499
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-08-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200806002523 | I | Clinical Psychologist | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46143)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | IN | |
| Clinical Social Worker | IN | |
| Clinical Social Worker | IN | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | IN | |
| Clinical Social Worker | IN | |
| Clinical Social Worker | IN | |
| Mental Health Counselor | IN |
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