DR. LORETTA FUGE (PSY.D.) – Clinical Psychologist, NPI 1053425769

DR. LORETTA FUGE (PSY.D.) is a healthcare provider. based in Mansfield, Missouri. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 2005028862 (MO). The NPI Number for DR. LORETTA FUGE (PSY.D.) is 1053425769

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. LORETTA FUGE (PSY.D.)
NPI
1053425769
Phone
(417) 924-8188
Address
827 W. COMMERCIAL
Enumeration Date
18 August 2006
Last Update Date
24 March 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4179248188
Graduation Year
2004 (22 years ago)
PAC ID
4688692015
Group Practice PAC ID
1759424997
Professional Enrollment ID
I20051104000003
Address ID
MO657049520MA827XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

449 CLINICAL PSYCHOLOGIST in MO

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Provider Addresses for DR. LORETTA FUGE (PSY.D.)

  • 827, West Commercial Street, Mansfield, Wright County, Missouri, 65704, United States

    P.O. BOX 47

    MANSFIELD, MO 657040677

    Phone: (417) 924-8188

    Fax: (417) 924-8190

    Mailing address matches the actual address.

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: 2005-11-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051104000003IClinical PsychologistMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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 65704)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759424997View full group profile
NameSpecialtyState
-OR
Clinical PsychologistMO

Reviews

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Frequently asked questions

How do payers reference DR. LORETTA FUGE (PSY.D.)?
For DR. LORETTA FUGE (PSY.D.), use NPI 1053425769 as the unique 10-digit identifier.
Is there an active status for DR. LORETTA FUGE (PSY.D.)?
For scheduling context, DR. LORETTA FUGE (PSY.D.) is shown as active in the registry.
What expertise is attributed to DR. LORETTA FUGE (PSY.D.)?
DR. LORETTA FUGE (PSY.D.)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. LORETTA FUGE (PSY.D.)?
Directory geography for DR. LORETTA FUGE (PSY.D.) centers on Mansfield, Missouri.
When was this NPI issued?
Enumeration for DR. LORETTA FUGE (PSY.D.) is noted as August 18, 2006 where the registry provides it.

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