DR. JERRY L. OESTMANN (PH.D.) – Psychologist, NPI 1790858959

DR. JERRY L. OESTMANN (PH.D.) is a healthcare provider. based in New smyrna beach, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 396 (NE). The NPI Number for DR. JERRY L. OESTMANN (PH.D.) is 1790858959

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY L. OESTMANN (PH.D.)
NPI
1790858959
Phone
(386) 423-9162
Address
136 JULIA ST UNIT 100
Enumeration Date
16 November 2006
Last Update Date
17 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3864239161
Graduation Year
2000 (26 years ago)
PAC ID
4587673967
Professional Enrollment ID
I20150107001633
Address ID
FL321687713NE136XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness85
Years active:19State licenses:4Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. JERRY L. OESTMANN (PH.D.)

  • 136 JULIA ST UNIT 100

    NEW SMYRNA BEACH, FL 321687713

    Phone: (386) 423-9162

    Fax: (386) 423-3094

    Type: Location

  • 1730, Dunlawton Avenue, Port Orange, Volusia County, Florida, 32127, United States

    SUITE 3

    PORT ORANGE, FL 321278985

    Phone: (386) 957-3905

    Fax: (386) 402-8992

    Type: Mailing

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: 2015-01-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150107001633IClinical PsychologistFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour16734$0
90791Psychiatric diagnostic evaluation3332$0
View full utilization report →

Insurance plans in this area (ZIP 32168)

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Reviews

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Frequently asked questions

Is there an official ID for DR. JERRY L. OESTMANN (PH.D.) in U.S. healthcare records?
The official identifier for DR. JERRY L. OESTMANN (PH.D.) is NPI 1790858959.
Is DR. JERRY L. OESTMANN (PH.D.) still an active registrant?
DR. JERRY L. OESTMANN (PH.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. JERRY L. OESTMANN (PH.D.)'s focus?
For DR. JERRY L. OESTMANN (PH.D.), the primary taxonomy reads as Psychologist. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. JERRY L. OESTMANN (PH.D.) registered?
Use New Smyrna Beach, Florida as the headline location for DR. JERRY L. OESTMANN (PH.D.) here.
When was this NPI issued?
Enumeration for DR. JERRY L. OESTMANN (PH.D.) is noted as November 16, 2006 where the registry provides it.

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