1. Home
  2. Directory
  3. Utah
  4. Lehi
  5. Psychologist
  6. NPI Profile

DR. JACKIE MARIE NELSON PSY.D.
NPI 1215552765
Psychologist - Clinical in Lehi, UT

Active since June 10, 2020PECOS Enrolled
99.47/100
CMS Quality Rating
2250 N MILLER CAMPUS DR, LEHI, UT 84043(801) 662-1000 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2023, Dec 11, 2022, Jun 10, 2020 (3 updates tracked since 2020).

About Dr. Jackie Marie Nelson Psy.d. NPPES

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

DR. JACKIE MARIE NELSON PSY.D. (NPI 1215552765) is an individual clinical provider in Lehi, Utah, licensed in Utah (11471209-2501) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215552765
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACKIE MARIE NELSONCredential: PSY.D.
Location Address2250 N MILLER CAMPUS DRLehi, UT 84043-7233
Mailing Address2250 N Miller Campus DrLehi, UT 84043-7233
Phone(801) 662-1000
Sole ProprietorNo
Enumeration DateJune 10, 2020
Last NPPES UpdateDecember 14, 20233 updates tracked since enumeration
NPPES CertifiedDecember 14, 2023
✔ NPI 1215552765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in UT · 11471209-2501
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2250 N MILLER CAMPUS DR, Lehi, UT 84043
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jackie Marie Nelson Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

SPENCER EVAN BLACK MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2250 N MILLER CAMPUS DR
LEHI, UT 84043
Utah County (859) 313-7711
TIMOTHY FOWLES
Psychologist (Clinical)
2250 N MILLER CAMPUS DR
LEHI, UT 84043
Utah County (801) 824-6047
ASHLEE NICOLE SADDLER
Occupational Therapist (Mental Health)
2250 N MILLER CAMPUS DR
LEHI, UT 84043
Utah County (801) 662-1000
ALEXANDRA WEISZ LMFT
Marriage & Family Therapist
2250 N MILLER CAMPUS DR
LEHI, UT 84043
Utah County (801) 662-3603
STACY MICHELLE FENTON MSW
Social Worker (Clinical)
2250 N MILLER CAMPUS DR
LEHI, UT 84043
Utah County (801) 662-3601
IHC HEALTH SERVICES, INC.
Pharmacy (Community/Retail Pharmacy)
2250 N MILLER CAMPUS DR
LEHI, UT 84043
Utah County (435) 531-1143
MICHELLE WELLER
Speech-Language Pathologist
2250 N MILLER CAMPUS DR
LEHI, UT 84043
Utah County (833) 577-3422
BROOKLYN KAYE SIMON OTR/L
Occupational Therapist
2250 N MILLER CAMPUS DR
LEHI, UT 84043
Utah County (833) 577-3422

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 Jackie Nelson's NPI number?

The NPI number for Jackie Nelson is 1215552765. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Jackie Nelson located?

Jackie Nelson practices at 2250 N Miller Campus Dr, Lehi, UT 84043. The listed phone number is (801) 662-1000.

What is Jackie Nelson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jackie Nelson enrolled in Medicare?

Yes. Jackie Nelson is registered in the Medicare PECOS enrollment system.

What insurance does Jackie Nelson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Jackie Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackie Nelson was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.