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KYLE W BOERKE PSYD
NPI 1225340805
Psychologist - Clinical in Peoria, IL

Active since July 12, 2010PECOS Enrolled
7317 N WILLOW LAKE CT, PEORIA, IL 61614(309) 683-7373(309) 691-4408 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle W Boerke Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE W BOERKE PSYD (NPI 1225340805) is an individual clinical provider in Peoria, Illinois, licensed in Illinois (071007906) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225340805
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameKYLE W BOERKECredential: PSYD
Location Address7317 N WILLOW LAKE CTPeoria, IL 61614-8227
Mailing Address7317 N Willow Lake CtPeoria, IL 61614-8227 · (309) 683-7373 · Fax (309) 691-4408
Phone(309) 683-7373
Fax(309) 691-4408
Sole ProprietorNo
Enumeration DateJuly 12, 2010
✔ NPI 1225340805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071007906
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
7317 N WILLOW LAKE CT, Peoria, IL 61614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle W Boerke Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN LEROY THORNTON MD
Internal Medicine
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
DR. ANGELA LYNN NEESE PHD
Psychologist (Clinical)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 691-4408
TIMOTHY DREW
Counselor (Professional)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
DR. CHRISTINA WHITAKER PH.D., LCP
Psychologist (Clinical)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
ANENE NNAJIEGO ACHEBE APRN,CNP
Nurse Practitioner (Psychiatric/Mental Health)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
RENAE D MILHOAN APRN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
SOHEE LEE
Psychologist
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373
DR. KARA SUE CICCIARELLI PHD, NCSP, LCP
Psychologist (Clinical)
7317 N WILLOW LAKE CT
PEORIA, IL 61614
Peoria County (309) 683-7373

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 Boerke's NPI number?

The NPI number for Kyle Boerke is 1225340805. It was assigned to this individual provider in the NPPES registry on July 12, 2010.

Where is Kyle Boerke located?

Kyle Boerke practices at 7317 N Willow Lake Ct, Peoria, IL 61614. The listed phone number is (309) 683-7373.

What is Kyle Boerke's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kyle Boerke enrolled in Medicare?

Yes. Kyle Boerke is registered in the Medicare PECOS enrollment system.

What insurance does Kyle Boerke accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kyle Boerke 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 Boerke was last updated on July 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.