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

Q: 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.

Q: What is Kyle Boerke's specialty?

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

Q: 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.

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: October 25, 2026.

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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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kyle Boerke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osf Multi-Specialty Group

4.9 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1922445527 (309) 683-5050

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 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