ROBIN PETERSON PSY D LLC
NPI 1053078477
Psychologist in Bettendorf, IA
About Robin Peterson Psy D Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBIN PETERSON PSY D LLC (NPI 1053078477) is a healthcare organization registered as a psychologist in Bettendorf, Iowa and active in the NPI registry since November 2021. The organization lists Robin R Peterson, Clinical Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Robin Peterson Psy D Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Robin Peterson Psy D LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Robin Peterson Psy D LLC's NPI number?
The NPI number for Robin Peterson Psy D LLC is 1053078477. It was assigned to this organization in the NPPES registry on November 19, 2021.
Where is Robin Peterson Psy D LLC located?
Robin Peterson Psy D LLC is located at 1035 Lincoln Rd Ste 202, Bettendorf, IA 52722. The listed phone number is (563) 355-4879.
What is Robin Peterson Psy D LLC's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Robin Peterson Psy D LLC enrolled in Medicare?
Yes. Robin Peterson Psy D LLC is registered in the Medicare PECOS enrollment system.
When is Robin Peterson Psy D LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Iowa, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Robin Peterson Psy D LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Robin Peterson Psy D LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Robin Peterson Psy D LLC was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.