DR. JACQUELYN WRIGHT WAGNER PSY.D.
NPI 1528428398
Psychologist - Clinical in Saint Paul, MN

Active since March 07, 2016PECOS EnrolledAccepts Medicare Assignment
2500 COMO AVE, SAINT PAUL, MN 55108(651) 641-6200 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 16, 2020, Nov 14, 2017 (2 updates tracked since 2017).

About Dr. Jacquelyn Wright Wagner Psy.d. NPPES

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

DR. JACQUELYN WRIGHT WAGNER PSY.D. (NPI 1528428398) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (6159) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Victoria, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1528428398
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACQUELYN WRIGHT WAGNERCredential: PSY.D.
Location Address2500 COMO AVESaint Paul, MN 55108-1460
Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 7, 2016
Last NPPES UpdateSeptember 16, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
NPI 1528428398 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 MN · 6159
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.
2500 COMO AVE, Saint Paul, MN 55108

Secondary Practice Location 1

Location 11772 Steiger Lake Ln, Suite 200Victoria, MN 55386-7723 · Phone (952) 443-4600

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. Jacquelyn Wright Wagner Psy.d. 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 ID6305103110
PECOS Enrollment IDI20171204002182
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 55108 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Durable Medical Equipment & Medical Supplies
2500 COMO AVE
SAINT PAUL, MN 55108
Nurse Practitioner (Gerontology)
2500 COMO AVE
SAINT PAUL, MN 55108
Acupuncturist
2500 COMO AVE
SAINT PAUL, MN 55108
Registered Nurse
2500 COMO AVE
SAINT PAUL, MN 55108
Dentist (General Practice)
2500 COMO AVE
ST PAUL, MN 55108
Family Medicine
2500 COMO AVE
SAINT PAUL, MN 55108
Dentist
2500 COMO AVE
SAINT PAUL, MN 55108
Internal Medicine
2500 COMO AVE
SAINT PAUL, MN 55108

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 Jacquelyn Wright Wagner's NPI number?

The NPI number for Jacquelyn Wright Wagner is 1528428398. It was assigned to this individual provider in the NPPES registry on March 7, 2016.

Where is Jacquelyn Wright Wagner located?

Jacquelyn Wright Wagner practices at 2500 Como Ave, Saint Paul, MN 55108. The listed phone number is (651) 641-6200.

What is Jacquelyn Wright Wagner's specialty?

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

Is Jacquelyn Wright Wagner enrolled in Medicare?

Yes. Jacquelyn Wright Wagner 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 Jacquelyn Wright Wagner accept?

Health plans from HealthPartners list Jacquelyn Wright Wagner 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 Jacquelyn Wright Wagner was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.