Peder Nelson Piering, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2296-057 Issued in WI

Practice address

2015 E Newport Ave
Suite 409
Milwaukee, WI 53211-2984

Phone

(414) 259-3900

Fax

(414) 963-0000

NPI assigned

Aug 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

35.83 of 100Reported as group

Quality

9.6

Promoting interoperability

0

Improvement activities

0

Cost

76.51

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BCS Care Solutions, LLC

  • Psychologist
  • Waukesha, WI
  • NPI 1215426382

  Clinical

  Medicare reassignment NPD
• Behavioral Solutions, Inc.

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1174633119
  Medicare reassignment NPD
• Cary J Kohlenberg MD SC

  dba Independent Psychiatric Consultants Mental Health Center

  • Psychiatry Physician
  • Waukesha, WI
  • NPI 1952487506
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013920842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "SUITE 409",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984",
            "telephone_number": "414-259-3900",
            "fax_number": "414-963-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "SUITE 409",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984",
            "telephone_number": "414-259-3900",
            "fax_number": "414-963-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERING",
        "first_name": "PEDER",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2296-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43578200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Pierce, MD
• Joyce Pierce, PNCC
• Leann Pierce, NP
• Shannon Rashawn Pierce, MSW
• Todd Christopher Pierce, PCW
• Shannon Nicole Pieronek, M.S., R.D., C.D.
• Joey Pierron
• Pierson Point LLC
• Alicia R Pierson
• Carlee Rose Pierson

• Clinical Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.