Jackie Micklewright, PHD
NPI 1669705638 · Clinical Neuropsychologist · Saint Paul, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackie Micklewright, PHD is a Clinical Neuropsychologist provider in Saint Paul, MN (NPI 1669705638).
Provider details
- NPI number
- 1669705638
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- LP5324 (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 tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
465 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Psychological Or Neuropsychological Test By Technician, Each Additional 30 Minutes96139 | 186 | $35 |
| Evaluation of Neuropsychological Test, Each Additional Hour96133 | 130 | $73 |
| Evaluation of Neuropsychological Test, First Hour96132 | 38 | $102 |
| Exam of Neurobehavioral Status, First Hour96116 | 37 | $76 |
| Administration of Psychological Or Neuropsychological Test, First 30 Minutes96136 | 37 | $22 |
| Administration of Psychological Or Neuropsychological Test By Technician, First 30 Minutes96138 | 37 | $34 |
Practice location
Mailing address
Additional practice locations (1)
- 11280 86th Ave NMaple Grove, MN 55369-4510Phone: (763) 400-7828Fax: (763) 400-7444
Registry dates
- Enumerated
- 2009-09-09
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Frequently asked questions
- What is Jackie Micklewright's NPI number?
- Jackie Micklewright's National Provider Identifier (NPI) is 1669705638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Micklewright's specialty?
- Jackie Micklewright is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Jackie Micklewright located?
- Jackie Micklewright's practice location on file with NPPES is 280 Smith Ave N Ste 220, Saint Paul, MN 55102-2459.
- What is Jackie Micklewright's phone number?
- The practice phone number listed in the NPPES registry for Jackie Micklewright is (651) 241-8295.
- Does Jackie Micklewright accept Medicare?
- Jackie Micklewright is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackie Micklewright's NPI active?
- Yes — Jackie Micklewright's NPI (1669705638) is active in the NPPES registry as of the last update on 2026-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.