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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. KY-SHA DENISE DUNCAN LCSW. LCAS, CCS
NPI 1891225124
Social Worker - Clinical in Mather, CA

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment
10535 HOSPITAL WAY, MATHER, CA 95655(916) 843-7000(704) 939-1173 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2026, Jul 21, 2022, Aug 29, 2017 and 1 more (4 updates tracked since 2017).

About Ms. Ky-sha Denise Duncan Lcsw. Lcas, Ccs NPPES

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

MS. KY-SHA DENISE DUNCAN LCSW. LCAS, CCS (NPI 1891225124) is an individual clinical provider in Mather, California, licensed in North Carolina (C012258) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1891225124
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KY-SHA DENISE DUNCANCredential: LCSW. LCAS, CCS
Location Address10535 HOSPITAL WAYMather, CA 95655-4200
Mailing Address10535 Hospital WayMather, CA 95655-4200 · (916) 843-7000 · Fax (704) 939-1173
Phone(916) 843-7000
Fax(704) 939-1173
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 19, 2017
Last NPPES UpdateSeptember 21, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1891225124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C012258
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-23886 (NC)
10535 HOSPITAL WAY, Mather, CA 95655
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and more.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

Ms. Ky-sha Denise Duncan Lcsw. Lcas, Ccs 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 ID1850706359
PECOS Enrollment IDI20210216000482
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 Ky-sha Duncan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thriveworks Clinical - North Carolina PC
2,338 mi
Mental Health
8406 SIX FORKS RD STE 104
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 188 clinicians in this Medicare group
NPI 1003303082 (919) 424-6045

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 95655 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
$0.00 typical visit price
range $60.44 – $180.85
Typical copayment $0.00 (range $15.11 – $45.21)
Most-billed visit code NA
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALAYNA HUYNH NGUYEN
Pharmacist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-7000
MS. JANE CHAN RPH
Pharmacist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 366-5321
DR. PATRICIA L. DALTON M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
10535 HOSPITAL WAY, DEPT. OF VA SACRAMENTO MEDICAL CENTER
MATHER, CA 95655
Sacramento County (916) 843-7000
DR. NICHOLAS RANDALL MORRIS M.D.
Psychiatry & Neurology (Psychiatry)
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-7000
SHIN SHAN CHO
Dietitian, Registered
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-9022
BRENDA JACKSON LMFT
Marriage & Family Therapist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-2918
UMELO UGWOABA PHD, MPH
Psychologist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-2699
JEFFREY JON METER MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-7324

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 Ky-sha Duncan's NPI number?

The NPI number for Ky-sha Duncan is 1891225124. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Ky-sha Duncan located?

Ky-sha Duncan practices at 10535 Hospital Way, Mather, CA 95655. The listed phone number is (916) 843-7000.

What is Ky-sha Duncan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ky-sha Duncan enrolled in Medicare?

Yes. Ky-sha Duncan 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 Ky-sha Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ky-sha Duncan reassigns Medicare benefits to Thriveworks Clinical - North Carolina PC (Raleigh, NC). 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 Ky-sha Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ky-sha Duncan accept?

Health plans from CareSource, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Ky-sha Duncan 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 Ky-sha Duncan was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.