DR. RUSSELL WILLIAM KINKADE JR. PSYD
NPI 1033295571
Psychologist - Clinical in Racine, WI

Q: What is Russell Kinkade's NPI number?

The NPI number for Russell Kinkade is 1033295571. It was assigned to this individual provider in the NPPES registry on October 27, 2006. The provider is also known as Dr. Russ Kinkade.

Q: What is Russell Kinkade's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Russell Kinkade was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment

6214 WASHINGTON AVENUE, SUITE C 10, RACINE, WI 53406(262) 989-5228 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Russell William Kinkade Jr. Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUSSELL WILLIAM KINKADE JR. PSYD (NPI 1033295571) is an individual clinical provider in Racine, Wisconsin, licensed in Wisconsin (1296) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1033295571

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. RUSSELL WILLIAM KINKADE JR.Credential: PSYD

Location Address6214 WASHINGTON AVENUE, SUITE C 10Racine, WI 53406

Mailing AddressS55w29307 Holiday PointWaukesha, WI 53189-9026 · (262) 989-5228

Phone(262) 989-5228

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateOctober 27, 2006

Last NPPES UpdateJuly 16, 2025

NPPES CertifiedJuly 16, 2025

✔ NPI 1033295571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WI · 1296

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

6214 WASHINGTON AVENUE, Racine, WI 53406

Open in Google Maps ↗

Other Names 1

Other Name (5)Dr. Russ Kinkade

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Russell William Kinkade Jr. Psyd 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.

PECOS PAC ID446437602

PECOS Enrollment IDI20150824001097

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Russell Kinkade's NPI number?

The NPI number for Russell Kinkade is 1033295571. It was assigned to this individual provider in the NPPES registry on October 27, 2006. The provider is also known as Dr. Russ Kinkade.

Where is Russell Kinkade located?

Russell Kinkade practices at 6214 Washington Avenue Suite C 10, Racine, WI 53406. The listed phone number is (262) 989-5228.

What is Russell Kinkade's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Russell Kinkade enrolled in Medicare?

Yes. Russell Kinkade 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.

What insurance does Russell Kinkade accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Russell Kinkade 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 Russell Kinkade was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.