DR. JILL MARIE DIESMAN (AU.D.) – Audiologist, NPI 1467782813
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
519 QUALIFIED AUDIOLOGIST in FL
Provider Addresses for DR. JILL MARIE DIESMAN (AU.D.)
501 Village Green Pkwy Ste 16
Bradenton, FL 342093401
Phone: (941) 795-2811
Fax: (941) 927-2424
Type: Location
2184 GULF GATE DR
SARASOTA, FL 342314813
Phone: (941) 922-5094
Fax: (941) 927-2424
Type: Mailing
6, Victory Drive, Blue Jay Plaza, Liberty, Clay County, Missouri, 64068, United States
SUITE 8
LIBERTY, MO 640681972
Phone: (816) 883-2660
Fax: (816) 792-9819
Type: Mailing
13303, Tesson Ferry Road, Saint Louis County, Missouri, 63128, United States
SUITE 20
SAINT LOUIS, MO 631284062
Phone: (816) 883-2680
Fax: (314) 962-1991
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-01-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260106001749 | I | Qualified Audiologist | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34209)
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