DR. CAILEIGH PETERS (PSY.D.) – Clinical Psychologist, NPI 1851085641

DR. CAILEIGH PETERS (PSY.D.) is a healthcare provider. based in Marine on saint croix, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. LP6939 (MN). The NPI Number for DR. CAILEIGH PETERS (PSY.D.) is 1851085641

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAILEIGH PETERS (PSY.D.)
NPI
1851085641
Phone
Not provided
Address
19430 ORWELL CT N
Enumeration Date
6 June 2023
Last Update Date
16 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
4082076039
Group Practice PAC ID
4486183498
Professional Enrollment ID
I20241125002547
Address ID
MN554241316MI5200XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for DR. CAILEIGH PETERS (PSY.D.)

  • 19430 ORWELL CT N

    MARINE ON SAINT CROIX, MN 550479776

    Phone:

    Type: Mailing

  • 992 INWOOD AVE N

    OAKDALE, MN 551286625

    Phone: (843) 422-7417

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241125002547IClinical PsychologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55047)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486183498View full group profile
NameSpecialtyState
Mental Health CounselorMN

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Frequently asked questions

Is DR. CAILEIGH PETERS (PSY.D.) listed with a National Provider Identifier?
Yes — DR. CAILEIGH PETERS (PSY.D.) has NPI 1851085641 on file in the registry.
Is there an active status for DR. CAILEIGH PETERS (PSY.D.)?
For scheduling context, DR. CAILEIGH PETERS (PSY.D.) is shown as active in the registry.
What expertise is attributed to DR. CAILEIGH PETERS (PSY.D.)?
DR. CAILEIGH PETERS (PSY.D.)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. CAILEIGH PETERS (PSY.D.)?
Directory geography for DR. CAILEIGH PETERS (PSY.D.) centers on Marine On Saint Croix, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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