DR. JAMES KEVIN GIESE PHD
NPI 1417057555
Psychologist - Addiction (Substance Use Disorder) in West Bend, WI
About Dr. James Kevin Giese Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES KEVIN GIESE PHD (NPI 1417057555) is an individual addiction (substance use disorder) provider in West Bend, Wisconsin, licensed in Wisconsin (2383057) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James Kevin Giese Phd 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.
Medicare Billing Reassignment
Medicare enrollment records show James Giese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Bend, WI 53095
- Reassigned Medicare billing, Wisconsin enrollment
- 33 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 James Giese's NPI number?
The NPI number for James Giese is 1417057555. It was assigned to this individual provider in the NPPES registry on September 25, 2006.
Where is James Giese located?
James Giese practices at 400 W River Drive, West Bend, WI 53090. The listed phone number is (262) 338-2717.
What is James Giese's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.
Is James Giese enrolled in Medicare?
Yes. James Giese 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.
Which organization bills Medicare for James Giese's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Giese reassigns Medicare benefits to Affiliated Clinical Services Inc (West Bend, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Giese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Giese accept?
Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list James Giese 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.
When was this NPI record last updated?
The NPPES record for James Giese was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.