DR. RUSSELL WILLIAM KINKADE JR. PSYD
NPI 1033295571
Psychologist - Clinical in Racine, WI
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, maintains a secondary practice location in Pewaukee, and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Russell Kinkade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Pleasant, WI 53406
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Russ Kinkade, Psy.D., S.C.
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Russell Kinkade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Russell Kinkade reassigns Medicare benefits to Russ Kinkade Psy D Sc (Mount Pleasant, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Russell Kinkade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Russell Kinkade accept?
Health plans from Anthem Blue Cross and Blue Shield 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 15 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.
# Dr. Russell William Kinkade Jr., PSYD · NPI 1033295571
Clinical provider in Racine, Wisconsin. Individual provider, active in the CMS NPPES registry since October 27, 2006.
## Identity
- **NPI:** 1033295571 (Entity type: Individual)
- **Enumerated:** October 27, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 1296 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6214 WASHINGTON AVENUE, SUITE C 10, Racine, WI 53406
- **Phone:** (262) 989-5228
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Russ Kinkade Psy D Sc (NPI 1992195192, Mount Pleasant, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** July 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033295571) · Data from the CMS NPPES public registry.