Doctor profile · Federal record
Dr. Jacklyn Ellickson, MD
Endocrinology, Diabetes & Metabolism Physician (CMS: Endocrinology) · Endocrinology, Diabetes & Metabolism Physician · Saint Paul, MN
- NPI 1538395496
- Accepts Medicare
- 18 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
401 Phalen Blvd
Saint Paul, MN 551305302
(651) 254-7870
fax (651) 254-7876 - Mailing address
-
8170 33Rd Ave S, MS 21110Q
Bloomington, MN 554254516
Credentials & registration
- NPI registered
- June 2009 — 17 yrs on file
- Profile last updated
- March 17, 2022
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 207RE0101X — NUCC code
- State licenses (2)
- Minnesota #53921 · Wisconsin #62721-20
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538395496. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
712
Distinct HCPCS
7
Medicare allowed
$31,898
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
36415 |
Insertion of needle into vein for collection of blood sample | 181 | 117 | $8 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 170 | 120 | $126 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 126 | 124 | $10 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 121 | 121 | $9 | |
96372 |
Injection of drug or substance under skin or into muscle | 43 | 16 | $12 | |
95251 |
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 42 | 20 | $34 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 29 | 29 | $159 |
In context: peer comparison
Among 10 peers in this city , average services per provider: 286. This provider delivers 2.5× the peer median.Open Payments
Industry payments received
All-time total
$25
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dexcom, Inc. | 1 | $25.04 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,626
Patients
446
Total drug cost
$974,231
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 262 | 76 | $6,151 |
| Metformin Hcl Er (Metformin Hcl) | Brand | 172 | 51 | $3,217 |
| Ozempic (Semaglutide) | Brand | 172 | 41 | $308,929 |
| Lantus Solostar (Insulin Glargine,hum.Rec.Anlog) | Brand | 150 | 41 | $121,750 |
| Jardiance (Empagliflozin) | Brand | 147 | 42 | $199,102 |
| Alendronate Sodium | Generic | 127 | 45 | $1,726 |
| Atorvastatin Calcium | Generic | 99 | 27 | $1,470 |
| Glipizide Er (Glipizide) | Brand | 89 | 21 | $2,271 |
| Synthroid (Levothyroxine Sodium) | Brand | 69 | 17 | $6,434 |
| Mounjaro (Tirzepatide) | Brand | 66 | 15 | $112,900 |
Hospital affiliations
Frequently asked questions
What is Dr. Jacklyn Ellickson's medical specialty?
Dr. Jacklyn Ellickson practices Endocrinology, Diabetes & Metabolism Physician in Saint Paul, MN.
Where does Dr. Jacklyn Ellickson practice?
Dr. Jacklyn Ellickson practices at 401 Phalen Blvd, Saint Paul, MN 551305302. Office phone: 6512547870.
What is Dr. Jacklyn Ellickson's NPI?
Dr. Jacklyn Ellickson's National Provider Identifier (NPI) is 1538395496, issued by NPPES.
Does Dr. Jacklyn Ellickson accept Medicare assignment?
Yes. Dr. Jacklyn Ellickson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacklyn Ellickson commonly perform?
Top Medicare-reported procedures in 2023: Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99214); Dxa bone density measurement of hip, pelvis, spine (HCPCS 77080). Source: CMS Medicare Physician & Other Practitioners file.