DR. PEDER NELSON PIERING (PHD) – Clinical Psychologist, NPI 1013920842

DR. PEDER NELSON PIERING (PHD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2296-057 (WI). The NPI Number for DR. PEDER NELSON PIERING (PHD) is 1013920842

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. PEDER NELSON PIERING (PHD)
NPI
1013920842
Phone
(414) 259-3900
Address
2015 E NEWPORT AVE
Enumeration Date
14 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2625481457
Graduation Year
1999 (27 years ago)
PAC ID
7214943091
Group Practice PAC ID
9537140611
Professional Enrollment ID
I20060302000703
Address ID
WI531885697WA1805XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

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Provider Addresses for DR. PEDER NELSON PIERING (PHD)

  • Northwest Quadrant D, 2015, East Newport Avenue, Downer Woods, Milwaukee, Milwaukee County, Wisconsin, 53211, United States

    SUITE 409

    MILWAUKEE, WI 532112984

    Phone: (414) 259-3900

    Fax: (414) 963-0000

    Mailing address matches the actual address.

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: 2006-03-02

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
I20060302000703IClinical PsychologistWITBD

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 53211)

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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: 9537140611View full group profile
NameSpecialtyState
-WI
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
-WI
Nurse PractitionerWI
Psychiatry, Geriatric PsychiatryWI
Nurse PractitionerWI
-WI

Reviews

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Frequently asked questions

What is the standard ID for DR. PEDER NELSON PIERING (PHD) in the U.S.?
In the U.S., DR. PEDER NELSON PIERING (PHD) is identified by NPI 1013920842.
Is DR. PEDER NELSON PIERING (PHD) currently accepting referrals based on NPI status?
Registry metadata lists DR. PEDER NELSON PIERING (PHD) as active.
What does the directory say DR. PEDER NELSON PIERING (PHD) does?
Insurance directories may phrase it differently, but here DR. PEDER NELSON PIERING (PHD) maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. PEDER NELSON PIERING (PHD)?
DR. PEDER NELSON PIERING (PHD) is associated with Milwaukee, Wisconsin in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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