MR. RANDY A HULTBERG LCSW
NPI 1104846575
Social Worker - Clinical in Greenville, KY
About Mr. Randy A Hultberg Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RANDY A HULTBERG LCSW (NPI 1104846575) is an individual clinical provider in Greenville, Kentucky, licensed in Kentucky (804) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hopkinsville, and is a graduate of Other (1980).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mr. Randy A Hultberg Lcsw 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 Randy Hultberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bowling Green, KY 42103
- Reassigned Medicare billing, Kentucky enrollment
- 91 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Randy Hultberg's NPI number?
The NPI number for Randy Hultberg is 1104846575. It was assigned to this individual provider in the NPPES registry on July 20, 2006.
Where is Randy Hultberg located?
Randy Hultberg practices at 506 Hopkinsville St, Greenville, KY 42345. The listed phone number is (270) 338-5211.
What is Randy Hultberg's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Randy Hultberg enrolled in Medicare?
Yes. Randy Hultberg 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 Randy Hultberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randy Hultberg reassigns Medicare benefits to Lifeskills, Inc. (Bowling Green, KY). 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 Randy Hultberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Randy Hultberg was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Randy A Hultberg, LCSW · NPI 1104846575
Clinical provider in Greenville, Kentucky. Individual provider, active in the CMS NPPES registry since July 20, 2006.
## Identity
- **NPI:** 1104846575 (Entity type: Individual)
- **Enumerated:** July 20, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 804 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 506 HOPKINSVILLE ST, Greenville, KY 42345-1104
- **Phone:** (270) 338-5211 · **Fax:** (270) 338-1624
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lifeskills, Inc. (NPI 1669401816, Bowling Green, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1980
## Record status
- **NPPES last updated:** May 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1104846575) · Data from the CMS NPPES public registry.