Jackie Engebretson, PHD, LP
NPI 1134598667 · Psychologist · Bloomington, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackie Engebretson, PHD, LP is a Psychologist provider in Bloomington, MN (NPI 1134598667).
Provider details
- NPI number
- 1134598667
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD, LP
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP5917 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3850 Park Nicollet BlvdSt Louis Park, MN 55416-2527Phone: (952) 993-1000
Registry dates
- Enumerated
- 2015-09-15
- Last updated
- 2022-08-12
- Certified
- 2022-08-12
Frequently asked questions
- What is Jackie Engebretson's NPI number?
- Jackie Engebretson's National Provider Identifier (NPI) is 1134598667, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Engebretson's specialty?
- Jackie Engebretson is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Jackie Engebretson located?
- Jackie Engebretson's practice location on file with NPPES is 7920 Old Cedar Ave S, Bloomington, MN 55425-1207.
- What is Jackie Engebretson's phone number?
- The practice phone number listed in the NPPES registry for Jackie Engebretson is (952) 428-1800.
- Does Jackie Engebretson accept Medicare?
- Jackie Engebretson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackie Engebretson's NPI active?
- Yes — Jackie Engebretson's NPI (1134598667) is active in the NPPES registry as of the last update on 2022-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.