Jesse Frederick Peterson, PSYD
NPI 1457996910ActiveIndividual· Psychologist· Green Bay, WI
Psychologist (PSYD) with Bellin Memorial Hospital Inc, practicing in Green Bay, Wisconsin. Medicare paid $22,538 for services to 53 patients in 2024. Lists Bellin Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1457996910 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Nov 8, 2019 |
| Last updated in NPPES | Nov 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 3690-57 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 53 |
|---|---|
| Services billed | 518 across 8 procedure codes |
| Paid by Medicare | $22,538 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Bellin Memorial Hospital IncGreen Bay, WI · 697 clinicians
Hospital affiliation
- Bellin Memorial HospitalGreen Bay, WI
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