DR. JESSE LYN MOONEN PSYD
NPI 1306500939
Psychologist in St Louis Park, MN

Active since October 29, 2021PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 993-3123(952) 993-3286 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2023, Jan 31, 2022, Jan 13, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Jesse Lyn Moonen Psyd NPPES

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

DR. JESSE LYN MOONEN PSYD (NPI 1306500939) is an individual psychologist in St Louis Park, Minnesota, licensed in Minnesota (LP6762) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306500939
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JESSE LYN MOONENCredential: PSYD
Location Address3800 PARK NICOLLET BLVDSt Louis Park, MN 55416-2527
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Fax(952) 993-3286
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 29, 2021
Last NPPES UpdateJanuary 20, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
NPI 1306500939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP6762
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.
3800 PARK NICOLLET BLVD, St Louis Park, MN 55416

Secondary Practice Location 1

Location 1800 E 28th St Fl 6Minneapolis, MN 55407-3723 · Phone (612) 863-4000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jesse Lyn Moonen Psyd 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 ID345633756
PECOS Enrollment IDI20220208001056
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 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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Psychologist
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Physical Medicine & Rehabilitation
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3800 PARK NICOLLET BLVD
MINNEAPOLIS, MN 55416
Physician Assistant
3800 PARK NICOLLET BLVD, DEPARTMENT OF DERMATOLOGY
ST LOUIS PARK, MN 55416
Dermatology
3800 PARK NICOLLET BLVD, DERMATOLOGY 4TH FLOOR
ST LOUIS PARK, MN 55416
Psychologist (Clinical)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Dermatology
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Radiology (Diagnostic Radiology)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

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 Jesse Moonen's NPI number?

The NPI number for Jesse Moonen is 1306500939. It was assigned to this individual provider in the NPPES registry on October 29, 2021.

Where is Jesse Moonen located?

Jesse Moonen practices at 3800 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3123.

What is Jesse Moonen's specialty?

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

Is Jesse Moonen enrolled in Medicare?

Yes. Jesse Moonen 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.

What insurance does Jesse Moonen accept?

Health plans from HealthPartners list Jesse Moonen 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 Jesse Moonen was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.