DR. JACQUELYN AVERY PHD
NPI 1952705170
Psychologist - Clinical in Minneapolis, MN

Active since October 17, 2014PECOS Enrolled
80.59/100
CMS Quality Rating
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414(612) 767-7222 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacquelyn Avery Phd NPPES

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

DR. JACQUELYN AVERY PHD (NPI 1952705170) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP5877) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Washington University School Of Medicine (2002).

NPPES Registry Identity

NPI1952705170
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACQUELYN AVERYCredential: PHD
Location Address3333 UNIVERSITY AVE SEMinneapolis, MN 55414-3325
Mailing Address3333 University Ave SeMinneapolis, MN 55414-3325 · (612) 767-7222
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2002
Enumeration DateOctober 17, 2014
Last NPPES UpdateJune 24, 2019
NPI 1952705170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in MN · LP5877 Licensed in MI · 6301014810
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.
3333 UNIVERSITY AVE SE, Minneapolis, MN 55414

Secondary Practice Location 1

Location 13901 Beaubien St Ste 4BDetroit, MI 48201-2119 · Phone (313) 745-4878

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 (PECOS)

Dr. Jacquelyn Avery Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567790462
PECOS Enrollment IDI20190829002171
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 55414 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.

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.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

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.

Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Counselor (Professional)
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414

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 Avery's NPI number?

The NPI number for Jacquelyn Avery is 1952705170. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Where is Jacquelyn Avery located?

Jacquelyn Avery practices at 3333 University Ave SE, Minneapolis, MN 55414. The listed phone number is (612) 767-7222.

What is Jacquelyn Avery's specialty?

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

Is Jacquelyn Avery enrolled in Medicare?

Yes. Jacquelyn Avery is registered in the Medicare PECOS enrollment system.

What insurance does Jacquelyn Avery accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Jacquelyn Avery 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 Avery was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.