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DR. TRACY BISTERFELDT PSY.D.
NPI 1700162583
Psychologist - Clinical in Chicago, IL

Active since October 25, 2011PECOS Enrolled
53 W. JACKSON BLVD., UNIT 635, CHICAGO, IL 60604(414) 379-2959 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tracy Bisterfeldt Psy.d. NPPES

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

DR. TRACY BISTERFELDT PSY.D. (NPI 1700162583) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.008187) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700162583
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TRACY BISTERFELDTCredential: PSY.D.
Location Address53 W. JACKSON BLVD., UNIT 635Chicago, IL 60604
Mailing Address934 N. Grove Ave.Oak Park, IL 60302 · (414) 379-2959
Phone(414) 379-2959
Sole ProprietorYes
Enumeration DateOctober 25, 2011
Last NPPES UpdateOctober 25, 2019
✔ NPI 1700162583 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 · 071.008187
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.
53 W. JACKSON BLVD., Chicago, IL 60604
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Other Names 1

Former Name (1)Dr. Tracy M Schafer Psy.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tracy Bisterfeldt Psy.d. 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 Tracy Bisterfeldt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rush University Medical Center
1.0 mi
Internal Medicine
1411 S MICHIGAN AVE
Chicago, IL 60605
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
NPI 1689165540 (312) 563-0654

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 60604 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Tracy Bisterfeldt's NPI number?

The NPI number for Tracy Bisterfeldt is 1700162583. It was assigned to this individual provider in the NPPES registry on October 25, 2011. The provider is also known as Dr. Tracy M Schafer Psy.D..

Where is Tracy Bisterfeldt located?

Tracy Bisterfeldt practices at 53 W. Jackson Blvd. Unit 635, Chicago, IL 60604. The listed phone number is (414) 379-2959.

What is Tracy Bisterfeldt's specialty?

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

Is Tracy Bisterfeldt enrolled in Medicare?

Yes. Tracy Bisterfeldt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Bisterfeldt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Bisterfeldt reassigns Medicare benefits to Rush University Medical Center (Chicago, IL). The 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 Tracy Bisterfeldt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tracy Bisterfeldt was last updated on October 25, 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.