NPPES file of Aug 9, 2026

Jill M. Peterson, PSYD

Clinical Psychologist · Racine, WI

Jill M. Peterson, PSYD is a clinical psychologist with a practice address in Racine, Wisconsin, and NPI 1669695136, issued on Apr 11, 2007. Check the license (Wisconsin 2709057, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1669695136
Name
Jill M. Peterson
Credential
PSYD
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
2709057 WI
Self-reported in NPPES; status is on the state search
Practice location
3801 Spring St, Racine, WI 53405
Phone
(262) 687-8538
Enumerated
Apr 11, 2007
Record last updated
Dec 9, 2008 (not updated in 18 years: call before relying on the address or phone)
Fax
(262) 687-4334
Medicare enrollment
Enrolled (PECOS I20090119000000); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3801 Spring St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Lori Allen, M.D.Anatomic Pathology & Clinical Pathology Physician1982626222
  2. Michael Ansani, D.O.Hospitalist Physician1699705764
  3. Bradley Beggs, M.D.Anatomic Pathology & Clinical Pathology Physician1134148356
  4. Ryan Beine, PA-CPhysician Assistant1104856376
  5. Glen Bordak, M.D.Anatomic Pathology & Clinical Pathology Physician1588683718
  6. John Byrne, M.D.Hospitalist Physician1386678720

Verify Jill M. Peterson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 2709057
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Bcs Care Solutions, LLCWaukesha, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jill M. Peterson among 728 clinical psychologist records in Wisconsin

Jill M. Peterson, PSYD is one of 728 clinical psychologist records with a practice address in Wisconsin. 27% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 32% of them.

  • NPI issued2007 · 32% of these records are older, 56% newer
  • In a Medicare fileYes · 27% of these records are
  • In the CMS Doctors and Clinicians fileYes · 34% of these records are
  • Graduated2005 · median 2009 among the 244 with a school on file
  • Record last updated2008 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

18 clinical psychologist records list a practice address in Racine

They are 18 of the 1,022 NPPES records with a practice address in Racine, and 728 clinical psychologist records in Wisconsin.

The 8 clinical psychologist records with the nearest ZIP codes

  1. Marie Miller-Christensen, PSY.D.Racine, WI 534051164723409
  2. Daniel Watson, PSY.D.Racine, WI 534051982164182
  3. Tammy Zimmel, PSYDRacine, WI 534051134288392
  4. Alyson GerdesRacine, WI 534061952991390
  5. Ashley Horan, PSYDRacine, WI 534041790208635
  6. Russell Kinkade, PSYDRacine, WI 534061033295571
  7. Kimberly Norden, PH.D.Racine, WI 534061760007009
  8. Rosanne Poe, PSY.D.Mount Pleasant, WI 534061780890475

Common questions

What is Jill M. Peterson, PSYD's NPI number?

Jill M. Peterson, PSYD's National Provider Identifier (NPI) is 1669695136, issued on Apr 11, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Jill M. Peterson, PSYD located?

The NPPES record lists a practice address at 3801 Spring St, Racine, WI, 53405. Phone: (262) 687-8538. Providers update this record themselves, so call before visiting.

How can I verify Jill M. Peterson, PSYD's license?

NPPES lists Wisconsin license number 2709057, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.