ANDREA DAWN KAISER LCPC
NPI 1053644849
Counselor - Professional in Rockford, IL
About Andrea Dawn Kaiser Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA DAWN KAISER LCPC (NPI 1053644849) is an individual professional provider in Rockford, Illinois, licensed in Illinois (180005739) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
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
Andrea Dawn Kaiser Lcpc 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 Andrea Kaiser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61107
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Rockford Psychiatric Medical Services Sc
- 163 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKFORD, IL 61107
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 Andrea Kaiser's NPI number?
The NPI number for Andrea Kaiser is 1053644849. It was assigned to this individual provider in the NPPES registry on September 10, 2009.
Where is Andrea Kaiser located?
Andrea Kaiser practices at 1021 N Mulford Rd, Rockford, IL 61107. The listed phone number is (815) 621-5945.
What is Andrea Kaiser's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Andrea Kaiser enrolled in Medicare?
Yes. Andrea Kaiser 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 Andrea Kaiser's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Kaiser reassigns Medicare benefits to Rockford Psychiatric Medical Services, S.C. (Rockford, IL). 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 Andrea Kaiser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrea Kaiser accept?
Health plans from MercyCare, MercyCare Health Plans, Oscar Health, Quartz and UnitedHealthcare list Andrea Kaiser 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 Andrea Kaiser was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Andrea Dawn Kaiser, LCPC · NPI 1053644849
Professional provider in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since September 10, 2009.
## Identity
- **NPI:** 1053644849 (Entity type: Individual)
- **Enumerated:** September 10, 2009
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180005739 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1021 N MULFORD RD, Rockford, IL 61107-3877
- **Phone:** (815) 621-5945
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Rockford Psychiatric Medical Services, S.C. (NPI 1821391442, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** January 27, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1053644849) · Data from the CMS NPPES public registry.