JAMIE L WASILEWSKI (PHD) – Clinical Psychologist, NPI 1083717490
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
775 CLINICAL PSYCHOLOGIST in WA
Provider Addresses for JAMIE L WASILEWSKI (PHD)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE
TACOMA, WA 984310001
Phone: (253) 968-9047
Type: Mailing
Madigan Army Medical Center 9040 Jackson Avenue
Tacoma, WA 984312109
Phone: (253) 968-9047
Type: Location
201 E MADISON ST STE 328
SPRINGFIELD, IL 627025131
Phone: (217) 545-8000
Type: Mailing
319 E MADISON ST FL 3
SPRINGFIELD, IL 627011035
Phone: (217) 545-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2022-08-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220825002000 | I | Clinical Psychologist | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| Physician Assistant | IL | |
| Pulmonary Disease | IL | |
| D E R M A T O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Physician Assistant | IL | |
| General Surgery | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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