JOANNA R DESUPINSKI – Clinical Psychologist, NPI 1598013591

JOANNA R DESUPINSKI is a healthcare provider. based in Lincoln, Nebraska. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 4832 (NC). The NPI Number for JOANNA R DESUPINSKI is 1598013591

Main info

Female
13 Years Of Experience
Name
JOANNA R DESUPINSKI
NPI
1598013591
Phone
(402) 483-6990
Address
4545 S 86th St
Enumeration Date
22 August 2012
Last Update Date
23 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9196360036
Graduation Year
2013 (13 years ago)
PAC ID
6103129218
Group Practice PAC ID
2264890862
Professional Enrollment ID
I20160125000554
Address ID
NC277138592DU2001XCTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

200 CLINICAL PSYCHOLOGIST in NE

Provider Addresses for JOANNA R DESUPINSKI

  • 4545 S 86th St

    Lincoln, NE 685269227

    Phone: (402) 483-6990

    Fax: (402) 483-7045

    Type: Location

  • 4545 S 86TH ST

    LINCOLN, NE 685269227

    Phone: (402) 483-6990

    Fax: (402) 483-7045

    Type: Mailing

  • 10580 LIGON MILL RD STE 210

    WAKE FOREST, NC 275876090

    Phone: (919) 263-9592

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2016-01-25

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
I20160125000554IClinical PsychologistNCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68526)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264890862View full group profile
NameSpecialtyState
Nurse PractitionerFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find JOANNA R DESUPINSKI's NPI?
You can confirm JOANNA R DESUPINSKI with NPI 1598013591; it appears in the national provider directory.
Does this profile mean JOANNA R DESUPINSKI is currently active?
Yes — JOANNA R DESUPINSKI appears active in the national provider directory.
What field does JOANNA R DESUPINSKI work in?
You can think of JOANNA R DESUPINSKI as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where does public data place JOANNA R DESUPINSKI?
The snapshot lists Lincoln, Nebraska for JOANNA R DESUPINSKI; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

MS. BARBARA ANN ECKERT (PSY.D.)

Clinical Psychologist
Lincoln Drive, Rushmore Heights, Box Elder, Meade County, South Dakota, 57706, United States
NPI: 1841286275

DR. LISA JONES (PHD)

Clinical Psychologist
South 68th Street Place, Lincoln, Lancaster County, Nebraska, 68505, United States
NPI: 1306823422

DR. AMBER M ZEISLER (PSYD)

Clinical Psychologist
4535, Normal Boulevard, Lincoln, Lancaster County, Nebraska, 68506, United States
NPI: 1013996966

Unknown Individual

Clinical Psychologist
O Street, Lincoln, Lancaster County, Nebraska, 68527, United States
NPI: 1770533549

DR. MADELEINE ALVA MATHIS (PHD)

Clinical Psychologist
2801, Cornhusker Highway, Thomas A Stratton, Lincoln, Lancaster County, Nebraska, 68504, United States
NPI: 1164453031
South 86th Street, Lincoln, Lancaster County, Nebraska, 68461, United States
NPI: 1215969514

Unknown Individual

Clinical Psychologist
606, Pier 2, Marina Bay, Capitol Beach, Lincoln, Lancaster County, Nebraska, 68528, United States
NPI: 1437183530

JUDY E BYRNS (PH.D., L.P.)

Clinical Psychologist
3201, Pioneers Boulevard, Lincoln, Lancaster County, Nebraska, 68502, United States
NPI: 1770503047

DR. SHANNON L BLACK (PH.D)

Clinical Psychologist
4949 ASHLAND ROAD
NPI: 1679595300