BRIAN J CAGLE (PSYD) – Psychologist, NPI 1073598314

BRIAN J CAGLE (PSYD) is a healthcare provider. based in Green bay, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 2071 (WI). The NPI Number for BRIAN J CAGLE (PSYD) is 1073598314

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN J CAGLE (PSYD)
NPI
1073598314
Phone
(920) 433-6073
Address
720 S VanBuren St
Enumeration Date
9 December 2005
Last Update Date
22 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204333630
Graduation Year
1996 (30 years ago)
PAC ID
6800081316
Group Practice PAC ID
8820900749
Professional Enrollment ID
I20101110000575
Address ID
WI543012241GR301XXSTXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

Provider Addresses for BRIAN J CAGLE (PSYD)

  • 720 S VanBuren St

    Green Bay, WI 543013534

    Phone: (920) 433-6073

    Fax: (920) 432-6312

    Type: Location

  • 301, East Saint Joseph Street, St. Joseph, Indianapolis, Marion, Indiana, 46202, United States

    GREEN BAY, WI 543012241

    Phone: (920) 433-6073

    Type: Mailing

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: 2010-11-10

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
I20101110000575IClinical 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 54301)

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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: 8820900749View full group profile
NameSpecialtyState
Family PracticeWI
-WI
Nurse PractitionerWI
Physical Therapist In Private PracticeWI
-WI
-WI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerWA
Certified Registered Nurse Anesthetist (Crna)WI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

What unique ID ties claims to BRIAN J CAGLE (PSYD)?
NPI 1073598314 is assigned to BRIAN J CAGLE (PSYD) under the national enumeration system.
Is BRIAN J CAGLE (PSYD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is BRIAN J CAGLE (PSYD)?
The page reflects Psychologist for BRIAN J CAGLE (PSYD). Clinical services aligned with this taxonomy classification.
What location shows for BRIAN J CAGLE (PSYD)?
We surface Green Bay, Wisconsin for BRIAN J CAGLE (PSYD) based on available NPPES addresses.
Is BRIAN J CAGLE (PSYD) a real provider?
This page reflects official NPPES data for NPI 1073598314. Always confirm identity and privileges with the practice and licensing boards.

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