Jacquelyn K. Wiersma, Ph. D., Lp, PLLC
NPI 1770696726 · Clinical Psychologist · Minnetonka, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacquelyn K. Wiersma, Ph. D., Lp, PLLC is a Clinical Psychologist organization in Minnetonka, MN (NPI 1770696726).
Provider details
- NPI number
- 1770696726
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jacquelyn Wiersma, Chief Manager(952) 938-9499
- License
- LP1583 (MN)
Specialties & taxonomies
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
- 2006-08-16
- Last updated
- 2017-04-05
Frequently asked questions
- What is Jacquelyn K. Wiersma, Ph. D., Lp, PLLC's NPI number?
- Jacquelyn K. Wiersma, Ph. D., Lp, PLLC's National Provider Identifier (NPI) is 1770696726, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacquelyn K. Wiersma, Ph. D., Lp, PLLC?
- Jacquelyn K. Wiersma, Ph. D., Lp, PLLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jacquelyn K. Wiersma, Ph. D., Lp, PLLC located?
- Jacquelyn K. Wiersma, Ph. D., Lp, PLLC's practice location on file with NPPES is 3931 Auburn Dr, Minnetonka, MN 55305-5196.
- What is Jacquelyn K. Wiersma, Ph. D., Lp, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn K. Wiersma, Ph. D., Lp, PLLC is (952) 938-9499.
- Does Jacquelyn K. Wiersma, Ph. D., Lp, PLLC accept Medicare?
- Jacquelyn K. Wiersma, Ph. D., Lp, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jacquelyn K. Wiersma, Ph. D., Lp, PLLC?
- The authorized official listed on Jacquelyn K. Wiersma, Ph. D., Lp, PLLC's NPPES record is Jacquelyn Wiersma, Chief Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacquelyn K. Wiersma, Ph. D., Lp, PLLC's NPI active?
- Yes — Jacquelyn K. Wiersma, Ph. D., Lp, PLLC's NPI (1770696726) is active in the NPPES registry as of the last update on 2017-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.