DR. KYLIE KRISTEN POTTENGER PSY.D.
NPI 1902219355
Psychologist - Clinical in Springfield, MO

Active since June 03, 2014PECOS Enrolled
5083 E HACKBERRY ST, SPRINGFIELD, MO 65809(417) 429-4580 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2024, May 16, 2024, Jun 10, 2019 (3 updates tracked since 2019).

About Dr. Kylie Kristen Pottenger Psy.d. NPPES

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

DR. KYLIE KRISTEN POTTENGER PSY.D. (NPI 1902219355) is an individual clinical provider in Springfield, Missouri, licensed in Missouri (2013042520) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1902219355
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KYLIE KRISTEN POTTENGERCredential: PSY.D.
Location Address5083 E HACKBERRY STSpringfield, MO 65809-8901
Mailing AddressPo Box 4046Springfield, MO 65808-4046 · (417) 718-3805 · Fax (417) 269-7567
Sole ProprietorYes
Enumeration DateJune 3, 2014
Last NPPES UpdateJune 18, 20243 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
NPI 1902219355 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 MO · 2013042520
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.
5083 E HACKBERRY ST, Springfield, MO 65809

Other Names 1

Former Name (1)Kylie Walker Psyd

Secondary Practice Location 1

Location 11423 N Jefferson AveSpringfield, MO 65802-1917 · Phone (417) 269-7728 · Fax (417) 269-7729

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kylie Kristen Pottenger 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65809 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
$161.24 typical visit price
range $52.28 – $161.24
Typical copayment $40.31 (range $13.07 – $40.31)
Most-billed visit code 99205
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Adult Mental Health)
5083 E HACKBERRY ST
SPRINGFIELD, MO 65809

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 Kylie Pottenger's NPI number?

The NPI number for Kylie Pottenger is 1902219355. It was assigned to this individual provider in the NPPES registry on June 3, 2014. The provider is also known as Kylie Walker Psyd.

Where is Kylie Pottenger located?

Kylie Pottenger practices at 5083 E Hackberry St, Springfield, MO 65809. The listed phone number is (417) 429-4580.

What is Kylie Pottenger's specialty?

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

Is Kylie Pottenger enrolled in Medicare?

Yes. Kylie Pottenger is registered in the Medicare PECOS enrollment system.

What insurance does Kylie Pottenger accept?

Health plans from Cox HealthPlans, Medica, Oscar Insurance Company and UnitedHealthcare list Kylie Pottenger 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 Kylie Pottenger was last updated on June 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.