Jacob William Diestelmann, PH.D.
NPI 1376064709ActiveIndividual· Psychologist· Marshfield, WI
Psychologist (PH.D.) with McHs Hospitals Inc, practicing in Marshfield, Wisconsin. Medicare paid $7,585 for services to 24 patients in 2024. Lists Marshfield Medical Center as a hospital affiliation.
Overview
| NPI | 1376064709 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jul 6, 2017 |
| Last updated in NPPES | Feb 16, 2024 |
| Certified by provider | Feb 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 3608 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 114 across 3 procedure codes |
| Paid by Medicare | $7,585 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- McHs Hospitals IncMarshfield, WI · 1,197 clinicians
Hospital affiliation
- Marshfield Medical CenterMarshfield, WI
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