Jacquelyn Anderson, DO
NPI 1174379754 · Student in an Organized Health Care Education/Training Program · Saint Cloud, MN
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacquelyn Anderson, DO is a Student in an Organized Health Care Education/Training Program provider in Saint Cloud, MN (NPI 1174379754).
Provider details
- NPI number
- 1174379754
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2024-04-25
- Last updated
- 2024-04-25
- Certified
- 2024-04-25
Frequently asked questions
- What is Jacquelyn Anderson's NPI number?
- Jacquelyn Anderson's National Provider Identifier (NPI) is 1174379754, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquelyn Anderson's specialty?
- Jacquelyn Anderson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jacquelyn Anderson located?
- Jacquelyn Anderson's practice location on file with NPPES is 1555 Northway Dr Ste 200, Saint Cloud, MN 56303-4913.
- What is Jacquelyn Anderson's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn Anderson is (320) 240-3157.
- Does Jacquelyn Anderson accept Medicare?
- Jacquelyn Anderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacquelyn Anderson's NPI active?
- Yes — Jacquelyn Anderson's NPI (1174379754) is active in the NPPES registry as of the last update on 2024-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.