JESSICA K WILBUR PSYD LP
NPI 1063002053
Psychologist in Coon Rapids, MN

Active since January 22, 2021PECOS EnrolledAccepts Medicare Assignment
11850 BLACKFOOT ST NW STE 405, COON RAPIDS, MN 55433(763) 236-0888 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica K Wilbur Psyd Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA K WILBUR PSYD LP (NPI 1063002053) is an individual psychologist in Coon Rapids, Minnesota, licensed in Minnesota (LP7271) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains a secondary practice location in Newberg.

NPPES Registry Identity

NPI1063002053
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJESSICA K WILBURCredential: PSYD LP
Location Address11850 BLACKFOOT ST NW STE 405Coon Rapids, MN 55433-2773
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 22, 2021
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1063002053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MN · LP7271
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
11850 BLACKFOOT ST NW STE 405, Coon Rapids, MN 55433

Secondary Practice Location 1

Location 1414 N Meridian StNewberg, OR 97132-2697 · Phone (503) 554-2390

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica K Wilbur Psyd Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224525647
PECOS Enrollment IDI20251017001136
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Wilbur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neurological Surgery
11850 BLACKFOOT ST NW STE 490
Coon Rapids, MN 55433
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1649576091 (Minnesota)
  • 2,609 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
11850 BLACKFOOT ST NW STE 405
COON RAPIDS, MN 55433
Physical Therapist (Pediatrics)
11850 BLACKFOOT ST NW STE 405
COON RAPIDS, MN 55433
Psychologist
11850 BLACKFOOT ST NW STE 405
MINNEAPOLIS, MN 55433
Physical Medicine & Rehabilitation
11850 BLACKFOOT ST NW STE 405
COON RAPIDS, MN 55433
Physical Therapist
11850 BLACKFOOT ST NW STE 405
COON RAPIDS, MN 55433
Physical Medicine & Rehabilitation
11850 BLACKFOOT ST NW STE 405
COON RAPIDS, MN 55433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Wilbur's NPI number?

The NPI number for Jessica Wilbur is 1063002053. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Jessica Wilbur located?

Jessica Wilbur practices at 11850 Blackfoot St NW Ste 405, Coon Rapids, MN 55433. The listed phone number is (763) 236-0888.

What is Jessica Wilbur's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jessica Wilbur enrolled in Medicare?

Yes. Jessica Wilbur is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jessica Wilbur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Wilbur reassigns Medicare benefits to Allina Health System (Coon Rapids, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Wilbur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jessica Wilbur affiliated with any hospitals?

According to CMS data, Jessica Wilbur is affiliated with Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Wilbur was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.