DR. JEFFREY WILLEMS (PHD) – Psychologist, NPI 1073886743

DR. JEFFREY WILLEMS (PHD) is a healthcare provider. based in Stevens point, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 3003-57 (WI). The NPI Number for DR. JEFFREY WILLEMS (PHD) is 1073886743

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY WILLEMS (PHD)
NPI
1073886743
Phone
(715) 341-7441
Address
3398 E MARIA DR
Enumeration Date
10 February 2012
Last Update Date
5 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7153417441
Graduation Year
2010 (16 years ago)
PAC ID
1254586183
Group Practice PAC ID
1850358938
Professional Enrollment ID
I20130227000051
Address ID
WI544811362ST3398XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

Provider Addresses for DR. JEFFREY WILLEMS (PHD)

  • 3398 E MARIA DR

    STEVENS POINT, WI 544811362

    Phone: (715) 341-7441

    Mailing address matches the actual address.

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: 2013-02-27

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
I20130227000051IClinical PsychologistWITBD

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 hour9712$0
90834Psychotherapy, 45 minutes4512$0
View full utilization report →

Insurance plans in this area (ZIP 54481)

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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: 1850358938View full group profile
NameSpecialtyState
-WI
-WI
Certified Registered Nurse Anesthetist (Crna)WI
-WI
-WI
Physician AssistantWI
P A T H O L O G YSC
Family PracticeWI
Medical Oncology, Internal Medicine, Hematology/OncologyWI
P A T H O L O G YSC

Reviews

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Frequently asked questions

Does DR. JEFFREY WILLEMS (PHD) have a public NPI I can cite?
Public records show DR. JEFFREY WILLEMS (PHD) under NPI 1073886743.
Should I treat DR. JEFFREY WILLEMS (PHD) as an active provider?
Patients and plans typically see DR. JEFFREY WILLEMS (PHD) as active in the national extract.
What services align with DR. JEFFREY WILLEMS (PHD)'s listing?
DR. JEFFREY WILLEMS (PHD)'s public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JEFFREY WILLEMS (PHD)?
The directory associates DR. JEFFREY WILLEMS (PHD) with Stevens Point, Wisconsin. Check all listed addresses for suites or satellite offices.
Can I export DR. JEFFREY WILLEMS (PHD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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