JESSICA MIKKELSON OTD, OTR/L
NPI 1922738988
Occupational Therapist in Minneapolis, MN
About Jessica Mikkelson Otd, Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA MIKKELSON OTD, OTR/L (NPI 1922738988) is an individual occupational therapist in Minneapolis, Minnesota, licensed in Minnesota (106868) and active in the NPI registry since June 2022. She is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Mikkelson Otd, Otr/l 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.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Mikkelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bloomington, MN 55431
- Reassigned Medicare billing, Minnesota enrollment
- 693 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.
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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Mikkelson's NPI number?
The NPI number for Jessica Mikkelson is 1922738988. It was assigned to this individual provider in the NPPES registry on June 13, 2022. The provider is also known as Jessica Van Ryzin.
Where is Jessica Mikkelson located?
Jessica Mikkelson practices at 500 Harvard St SE, Minneapolis, MN 55455. The listed phone number is (612) 273-8383.
What is Jessica Mikkelson's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jessica Mikkelson enrolled in Medicare?
Yes. Jessica Mikkelson 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 Mikkelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Mikkelson reassigns Medicare benefits to Tria Orthopaedic Center LLC (Bloomington, 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 Mikkelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Mikkelson was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.