DR. KYLE EDWARD FERGUSON PH.D.
NPI 1164739058
Psychologist - Clinical in Olympia, WA
About Dr. Kyle Edward Ferguson Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLE EDWARD FERGUSON PH.D. (NPI 1164739058) is an individual clinical provider in Olympia, Washington, licensed in Washington (PY60129975) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
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. Kyle Edward Ferguson Ph.d. 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 Reassignments
2Medicare enrollment records show Kyle Ferguson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shelton, WA 98584
- Reassigned Medicare billing, Washington enrollment
- 9 clinicians in this Medicare group
Tacoma, WA 98404
- Reassigned Medicare billing, Washington enrollment
- 55 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98506 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.
OLYMPIA, WA 98506
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 Kyle Ferguson's NPI number?
The NPI number for Kyle Ferguson is 1164739058. It was assigned to this individual provider in the NPPES registry on September 13, 2010.
Where is Kyle Ferguson located?
Kyle Ferguson practices at 525 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 493-7230.
What is Kyle Ferguson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kyle Ferguson enrolled in Medicare?
Yes. Kyle Ferguson 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 organizations bill Medicare for Kyle Ferguson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Ferguson reassigns Medicare benefits to 2 organizations: Squaxin Island Tribe (Shelton, WA) and Puyallup Tribal Health Authority (Tacoma, WA). Each 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 Kyle Ferguson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Ferguson accept?
Health plans from Providence Health Plan list Kyle Ferguson 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 Kyle Ferguson was last updated on April 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Kyle Edward Ferguson, PH.D. · NPI 1164739058
Clinical provider in Olympia, Washington. Individual provider, active in the CMS NPPES registry since September 13, 2010.
## Identity
- **NPI:** 1164739058 (Entity type: Individual)
- **Enumerated:** September 13, 2010
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PY60129975 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 525 LILLY RD NE, Olympia, WA 98506-5101
- **Phone:** (360) 493-7230
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Squaxin Island Tribe (NPI 1669532578, Shelton, WA); Puyallup Tribal Health Authority (NPI 1063455665, Tacoma, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** April 25, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1164739058) · Data from the CMS NPPES public registry.