KIERSTEN VICTORIA SIPPIO
NPI 1689144842
Psychologist in San Antonio, TX

Active since November 30, 2018PECOS EnrolledAccepts Medicare Assignment
4242 MEDICAL DR STE 6300, SAN ANTONIO, TX 78229(844) 824-8775 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2023, Jan 13, 2022, Nov 30, 2018 (3 updates tracked since 2018).

About Kiersten Victoria Sippio NPPES

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

KIERSTEN VICTORIA SIPPIO (NPI 1689144842) is an individual psychologist in San Antonio, Texas, licensed in Texas (38984) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689144842
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKIERSTEN VICTORIA SIPPIO
Location Address4242 MEDICAL DR STE 6300San Antonio, TX 78229-5372
Mailing Address4820 Rusina Rd Ste AColorado Springs, CO 80907-8127 · (504) 234-9433
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 30, 2018
Last NPPES UpdateOctober 13, 20253 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1689144842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in TX · 38984
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License PSY.0005776 (CO), 38984 (TX)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY.0005776 (CO), 38984 (TX)
Also ListedBehavior TechnicianTaxonomy 106S00000X
4242 MEDICAL DR STE 6300, San Antonio, TX 78229

Secondary Practice Location 1

Location 14820 Rusina Rd Ste AColorado Springs, CO 80907-8127 · Phone (504) 234-9433

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

Kiersten Victoria Sippio 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.

PECOS PAC ID3476918632
PECOS Enrollment IDI20260402000625
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 Reassignments

2

Medicare enrollment records show Kiersten Sippio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neonatal-Perinatal Medicine
2400 ROUND ROCK AVE
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 432 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2860 S CIRCLE DR STE 109
Colorado Springs, CO 80906
  • Reassigned Medicare billing, Colorado enrollment
  • 400 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.

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.

Social Worker (Clinical)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229
Psychologist (Clinical)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229
Counselor (Professional)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229
Counselor (Professional)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229
Counselor (Professional)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229
Social Worker (Clinical)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229
Counselor (Professional)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229
Counselor (Professional)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229

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 Kiersten Sippio's NPI number?

The NPI number for Kiersten Sippio is 1689144842. It was assigned to this individual provider in the NPPES registry on November 30, 2018.

Where is Kiersten Sippio located?

Kiersten Sippio practices at 4242 Medical Dr Ste 6300, San Antonio, TX 78229. The listed phone number is (844) 824-8775.

What is Kiersten Sippio's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kiersten Sippio enrolled in Medicare?

Yes. Kiersten Sippio 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 Kiersten Sippio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiersten Sippio reassigns Medicare benefits to 2 organizations: Magella Medical Associates Billing, Inc. (Round Rock, TX) and Family Care Center, LLC (Colorado Springs, CO). 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 Kiersten Sippio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kiersten Sippio accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Cigna Healthcare list Kiersten Sippio 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 Kiersten Sippio was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.