JACOB WILLIAM DIESTELMANN PH.D.
NPI 1376064709
Psychologist in Marshfield, WI

Active since July 06, 2017PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5703 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacob William Diestelmann Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB WILLIAM DIESTELMANN PH.D. (NPI 1376064709) is an individual psychologist in Marshfield, Wisconsin, licensed in Wisconsin (3608) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376064709
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJACOB WILLIAM DIESTELMANNCredential: PH.D.
Location Address1000 N OAK AVEMarshfield, WI 54449-5703
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 6, 2017
Last NPPES UpdateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
✔ NPI 1376064709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in WI · 3608
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1000 N OAK AVE, Marshfield, WI 54449

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob William Diestelmann Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305198060
PECOS Enrollment IDI20181008000610
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
80 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Dietitian, Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Physician Assistant
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Anesthetist, Certified Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Internal Medicine
1000 N OAK AVE
MARSHFIELD, WI 54449
Radiology (Vascular & Interventional Radiology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Diestelmann's NPI number?

The NPI number for Jacob Diestelmann is 1376064709. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Jacob Diestelmann located?

Jacob Diestelmann practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5703.

What is Jacob Diestelmann's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jacob Diestelmann enrolled in Medicare?

Yes. Jacob Diestelmann is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Diestelmann accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Sanford Health Plan list Jacob Diestelmann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Diestelmann affiliated with any hospitals?

According to CMS data, Jacob Diestelmann is affiliated with Marshfield Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Diestelmann was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.