Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOSEPH JOHN SESTA PH.D., M.P.
NPI 1568513992
Clinical Neuropsychologist in Jacksonville, FL

Q: What is Joseph Sesta's NPI number?

The NPI number for Joseph Sesta is 1568513992. It was assigned to this individual provider in the NPPES registry on January 14, 2007.

Q: What is Joseph Sesta's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Sesta was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.

Active since January 14, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

836 PRUDENTIAL DR STE 1506, JACKSONVILLE, FL 32207(904) 376-3800 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Dec 22, 2025, Aug 26, 2022 and 1 more (4 updates tracked since 2022).

On this page

About Dr. Joseph John Sesta Ph.d., M.p. NPPES

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

DR. JOSEPH JOHN SESTA PH.D., M.P. (NPI 1568513992) is an individual clinical neuropsychologist in Jacksonville, Florida, licensed in Florida (PY0005130) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (1992).

NPPES Registry Identity

NPI1568513992

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. JOSEPH JOHN SESTACredential: PH.D., M.P.

Location Address836 PRUDENTIAL DR STE 1506Jacksonville, FL 32207-8342

Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800

Phone(904) 376-3800

Sole ProprietorNo

Medical School CMSDrexel University College Of MedicineGraduated 1992

Enumeration DateJanuary 14, 2007

Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2026

✔ NPI 1568513992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in FL · PY0005130

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License PY0005130 (FL)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY0005130 (FL)

Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License PY0005130 (FL)

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License PY0005130 (FL)

836 PRUDENTIAL DR STE 1506, Jacksonville, FL 32207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.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. Joseph John Sesta Ph.d., M.p. 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 ID1759769953

PECOS Enrollment IDI20220531001621

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.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Sesta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Behavioral Health, LLC

0.1 mi

Professional

841 PRUDENTIAL DR STE 1350
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
176 clinicians in this Medicare group

NPI 1215906649 (904) 376-3800

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 8

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.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

524 services108 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

318 services105 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

115 services115 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

110 services110 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

108 services108 patients

Exam of neurobehavioral status, each additional hour 96121

This procedure involves a thorough evaluation of your neurobehavioral status, focusing on brain functions that affect behavior and cognition. It's extended for an additional hour to gather more detailed information about your neurological health.

86 services62 patients

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 4

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

KATRINA MORGAN LMHC

Counselor (Mental Health)

836 PRUDENTIAL DR STE 1506
JACKSONVILLE, FL 32207

Duval County (904) 376-3800

ALEXANDER IRIZARRY-MENDEZ

Student in an Organized Health Care Education/Training Program

836 PRUDENTIAL DR STE 1506
JACKSONVILLE, FL 32207

Duval County (904) 376-3800

MRS. SARAH MADISON GARRISON APRN

Nurse Practitioner (Psychiatric/Mental Health)

836 PRUDENTIAL DR STE 1506
JACKSONVILLE, FL 32207

Duval County (904) 376-3800

ADELINE LEON

Clinical Neuropsychologist

836 PRUDENTIAL DR STE 1506
JACKSONVILLE, FL 32207

Duval County (904) 376-3800

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 Joseph Sesta's NPI number?

The NPI number for Joseph Sesta is 1568513992. It was assigned to this individual provider in the NPPES registry on January 14, 2007.

Where is Joseph Sesta located?

Joseph Sesta practices at 836 Prudential Dr Ste 1506, Jacksonville, FL 32207. The listed phone number is (904) 376-3800.

What is Joseph Sesta's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Joseph Sesta enrolled in Medicare?

Yes. Joseph Sesta 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 Joseph Sesta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Sesta reassigns Medicare benefits to Baptist Behavioral Health, LLC (Jacksonville, FL). 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 Joseph Sesta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Sesta accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Joseph Sesta 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 Joseph Sesta was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.