DR. JACKIE GILBERTSON LICENSED PSYCHOLOGIS
NPI 1952380289
Psychologist in Rapid City, SD
About Dr. Jackie Gilbertson Licensed Psychologis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACKIE GILBERTSON LICENSED PSYCHOLOGIS (NPI 1952380289) is an individual psychologist in Rapid City, South Dakota, licensed in South Dakota (276 SD) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Dr. Jackie Gilbertson Licensed Psychologis 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 Jackie Gilbertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rapid City, SD 57701
- Reassigned Medicare billing, South Dakota enrollment
- Medicare enrollment name: Dr Jackie Gilbertson LLC
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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gilbertson's NPI number?
The NPI number for Jackie Gilbertson is 1952380289. It was assigned to this individual provider in the NPPES registry on January 13, 2006.
Where is Jackie Gilbertson located?
Jackie Gilbertson practices at 623 Quincy St Suite 102, Rapid City, SD 57701. The listed phone number is (605) 430-6364.
What is Jackie Gilbertson's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jackie Gilbertson enrolled in Medicare?
Yes. Jackie Gilbertson 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 Jackie Gilbertson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Gilbertson reassigns Medicare benefits to Dr.Jackiegilbertsonllc (Rapid City, SD). 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 Jackie Gilbertson'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 Jackie Gilbertson was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.