Jesse Peterson, PSYD
NPI 1457996910 · Psychologist · Green Bay, WI
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jesse Peterson, PSYD is a Psychologist provider in Green Bay, WI (NPI 1457996910).
Provider details
- NPI number
- 1457996910
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- No
- License
- 3690-57 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
458 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Psychological Or Neuropsychological Test By Technician, Each Additional 30 Minutes96139 | 223 | $33 |
| Evaluation of Neuropsychological Test, Each Additional Hour96133 | 94 | $93 |
| Exam of Neurobehavioral Status, First Hour96116 | 50 | $87 |
| Evaluation of Neuropsychological Test, First Hour96132 | 49 | $122 |
| Administration of Psychological Or Neuropsychological Test By Technician, First 30 Minutes96138 | 42 | $32 |
Typical Medicare-allowed amounts for these services range $32–$122 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 725 S Webster AveGreen Bay, WI 54301-3500Phone: (920) 433-6073Fax: (920) 431-0333
Registry dates
- Enumerated
- 2019-11-08
- Last updated
- 2019-11-11
Frequently asked questions
- What is Jesse Peterson's NPI number?
- Jesse Peterson's National Provider Identifier (NPI) is 1457996910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Peterson's specialty?
- Jesse Peterson is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Jesse Peterson located?
- Jesse Peterson's practice location on file with NPPES is 301 E Saint Joseph St, Green Bay, WI 54301-2241.
- What is Jesse Peterson's phone number?
- The practice phone number listed in the NPPES registry for Jesse Peterson is (920) 433-6073.
- Does Jesse Peterson accept Medicare?
- Jesse Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jesse Peterson's NPI active?
- Yes — Jesse Peterson's NPI (1457996910) is active in the NPPES registry as of the last update on 2019-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.