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JACKIE LYN MICKLEWRIGHT PHD
NPI 1669705638
Clinical Neuropsychologist in Saint Paul, MN

Active since September 09, 2009PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
280 SMITH AVE N STE 220, SAINT PAUL, MN 55102(651) 241-8295 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Oct 15, 2019 (2 updates tracked since 2019).

About Jackie Lyn Micklewright Phd NPPES

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

JACKIE LYN MICKLEWRIGHT PHD (NPI 1669705638) is an individual clinical neuropsychologist in Saint Paul, Minnesota and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains a secondary practice location in Maple Grove.

NPPES Registry Identity

NPI1669705638
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameJACKIE LYN MICKLEWRIGHTCredential: PHD
Location Address280 SMITH AVE N STE 220Saint Paul, MN 55102-2459
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(651) 241-8295
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 9, 2009
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1669705638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP5324 (MN)
280 SMITH AVE N STE 220, Saint Paul, MN 55102
Open in Google Maps ↗

Secondary Practice Location 1

Location 111280 86th Ave NMaple Grove, MN 55369-4510 · Phone (763) 400-7828 · Fax (763) 400-7444

Other Identifiers 1

Other680003191MN · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Jackie Lyn Micklewright Phd 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 ID345411674
PECOS Enrollment IDI20110919000350
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
186 services37 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
130 services38 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
38 services38 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
37 services37 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
37 services37 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

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 12

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

TRAVIS G O'BRIEN MD
Physical Medicine & Rehabilitation (Pain Medicine)
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Ramsey County (651) 241-8295
DR. DEREK JAMES NELSON DO
Physical Medicine & Rehabilitation
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Ramsey County (651) 241-8295
MARGARET ANN MULDERIG M.D.
Physical Medicine & Rehabilitation
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Ramsey County (651) 241-8295
MARGARITA MANAHAN MCGUIRE MD
Physical Medicine & Rehabilitation
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Ramsey County (651) 241-8295
SHANTEL M GASSMAN PHD LP
Psychologist
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Ramsey County (651) 241-8295
MOHAMED ALFATH DO
Physical Medicine & Rehabilitation
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Ramsey County (651) 241-8295
DR. SARAH HAYES ADDICKS PHD
Psychologist (Clinical)
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Ramsey County (651) 241-8295
ZARA MICHELE SCHULMAN M.D.
Physical Medicine & Rehabilitation
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102
Ramsey County (651) 241-8295

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 Micklewright's NPI number?

The NPI number for Jackie Micklewright is 1669705638. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Where is Jackie Micklewright located?

Jackie Micklewright practices at 280 Smith Ave N Ste 220, Saint Paul, MN 55102. The listed phone number is (651) 241-8295.

What is Jackie Micklewright's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jackie Micklewright enrolled in Medicare?

Yes. Jackie Micklewright 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 Jackie Micklewright accept?

Health plans from HealthPartners list Jackie Micklewright 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.

Is Jackie Micklewright affiliated with any hospitals?

According to CMS data, Jackie Micklewright is affiliated with Allina United Hospital.

When was this NPI record last updated?

The NPPES record for Jackie Micklewright was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.