Doctor profile · Federal record
Dr. Jackie Micklewright, PHD
Clinical Psychologist · Saint Paul, MN
- NPI 1669705638
- Accepts Medicare
- MIPS 83.5 / 100 · 2023
- 17 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
280 Smith Ave N Ste 220
Saint Paul, MN 551022459
(651) 241-8295 - Additional location
-
11280 86Th Ave N
Maple Grove, MN 553694510
(763) 400-7828
fax (763) 400-7444 - Mailing address
-
2925 Chicago Ave
Minneapolis, MN 554071321
Credentials & registration
- NPI registered
- September 2009 — 17 yrs on file
- Profile last updated
- October 15, 2019
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 103TC0700X — NUCC code
- State license (1)
- Minnesota #LP5324
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669705638. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
546
Distinct HCPCS
6
Medicare allowed
$29,150
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
96139 |
Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 242 | 40 | $36 | |
96133 |
Evaluation of neuropsychological test, each additional hour | 144 | 40 | $76 | |
96132 |
Evaluation of neuropsychological test, first hour | 41 | 40 | $104 | |
96138 |
Administration of psychological or neuropsychological test by technician, first 30 minutes | 41 | 40 | $35 | |
96116 |
Exam of neurobehavioral status, first hour | 40 | 39 | $78 | |
96136 |
Administration of psychological or neuropsychological test, first 30 minutes | 38 | 37 | $23 |
In context: peer comparison
Among 6 peers in Saint Paul Clinical Psychologist, average services per provider: 98. This provider delivers 5.6× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Jackie Micklewright's medical specialty?
Dr. Jackie Micklewright practices Clinical Psychologist in Saint Paul, MN.
Where does Dr. Jackie Micklewright practice?
Dr. Jackie Micklewright practices at 280 Smith Ave N Ste 220, Saint Paul, MN 551022459. Office phone: 6512418295.
What is Dr. Jackie Micklewright's NPI?
Dr. Jackie Micklewright's National Provider Identifier (NPI) is 1669705638, issued by NPPES.
Does Dr. Jackie Micklewright accept Medicare assignment?
Yes. Dr. Jackie Micklewright accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jackie Micklewright commonly perform?
Top Medicare-reported procedures in 2023: Administration of psychological or neuropsychological test by technician (HCPCS 96139); Evaluation of neuropsychological test, each additional hour (HCPCS 96133); Evaluation of neuropsychological test, first hour (HCPCS 96132). Source: CMS Medicare Physician & Other Practitioners file.