IVAYLO HRISTOV LCSW
NPI 1255405320
Social Worker - Clinical in Shorewood, WI
About Ivaylo Hristov Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVAYLO HRISTOV LCSW (NPI 1255405320) is an individual clinical provider in Shorewood, Wisconsin, licensed in Wisconsin (7835-123) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Ivaylo Hristov 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 Reassignments
3Medicare enrollment records show Ivaylo Hristov reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
- 856 clinicians in this Medicare group
Milwaukee, WI 53202
- Reassigned Medicare billing, Wisconsin enrollment
- 3 clinicians in this Medicare group
Brookfield, WI 53005
- Reassigned Medicare billing, Wisconsin enrollment
- 556 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 53211 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHOREWOOD, WI 53211
SHOREWOOD, WI 53211
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 Ivaylo Hristov's NPI number?
The NPI number for Ivaylo Hristov is 1255405320. It was assigned to this individual provider in the NPPES registry on November 20, 2006.
Where is Ivaylo Hristov located?
Ivaylo Hristov practices at 4465 N Oakland Ave Unit 310, Shorewood, WI 53211. The listed phone number is (530) 574-6855.
What is Ivaylo Hristov's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Ivaylo Hristov enrolled in Medicare?
Yes. Ivaylo Hristov 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 Ivaylo Hristov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivaylo Hristov reassigns Medicare benefits to 3 organizations: Columbia St. Mary's Hospital Milwaukee Inc (Milwaukee, WI), Icf Consultants, Inc. (Milwaukee, WI) and Cornerstone Counseling Services, Inc (Brookfield, WI). 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 Ivaylo Hristov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ivaylo Hristov accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 2 other insurers list Ivaylo Hristov 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 Ivaylo Hristov was last updated on January 31, 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.
# Ivaylo Hristov, LCSW · NPI 1255405320
Clinical provider in Shorewood, Wisconsin. Individual provider, active in the CMS NPPES registry since November 20, 2006.
## Identity
- **NPI:** 1255405320 (Entity type: Individual)
- **Enumerated:** November 20, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 7835-123 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4465 N OAKLAND AVE UNIT 310, Shorewood, WI 53211-1662
- **Phone:** (530) 574-6855 · **Fax:** (414) 755-7772
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Columbia St. Mary's Hospital Milwaukee Inc (NPI 1225071491, Milwaukee, WI); Icf Consultants, Inc. (NPI 1962568998, Milwaukee, WI); Cornerstone Counseling Services, Inc (NPI 1033127246, Brookfield, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** January 31, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1255405320) · Data from the CMS NPPES public registry.