MR. KYLE PETERSON LCSW
NPI 1700466117
Social Worker - Clinical in Madison, WI
About Mr. Kyle Peterson Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KYLE PETERSON LCSW (NPI 1700466117) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (9983-123) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Madison, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 3
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
Mr. Kyle Peterson 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 Reassignment
Medicare enrollment records show Kyle Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
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 53711 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Peterson's NPI number?
The NPI number for Kyle Peterson is 1700466117. It was assigned to this individual provider in the NPPES registry on April 9, 2021.
Where is Kyle Peterson located?
Kyle Peterson practices at 440 Science Dr Ste 300, Madison, WI 53711. The listed phone number is (262) 999-3495.
What is Kyle Peterson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kyle Peterson enrolled in Medicare?
Yes. Kyle Peterson 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 organization bills Medicare for Kyle Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Peterson reassigns Medicare benefits to Cornerstone Counseling Services, Inc (Brookfield, WI). 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 Kyle Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Peterson accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Quartz and 1 other insurer list Kyle Peterson 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 Peterson was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mr. Kyle Peterson, LCSW · NPI 1700466117
Clinical provider in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since April 9, 2021.
## Identity
- **NPI:** 1700466117 (Entity type: Individual)
- **Enumerated:** April 9, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 9983-123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 440 SCIENCE DR STE 300, Madison, WI 53711-1064
- **Phone:** (262) 999-3495
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Cornerstone Counseling Services, Inc (NPI 1033127246, Brookfield, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700466117) · Data from the CMS NPPES public registry.