Jackie Lyn Micklewright, PHD
Clinical Neuropsychologist · Saint Paul, MN
Jackie Lyn Micklewright, PHD is a clinical neuropsychologist with a practice address in Saint Paul, Minnesota, and NPI 1669705638, issued on Sep 9, 2009. Check the license (Minnesota LP5324, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jackie Lyn Micklewright
- Credential
- PHD
- Primary taxonomy
- Clinical Neuropsychologist 103G00000X
- License number
- LP5324 MN
Self-reported in NPPES; status is on the state search - Practice location
- 280 Smith Ave N Ste 220, Saint Paul, MN 55102
- Phone
- (651) 241-8295
- Enumerated
- Sep 9, 2009
- Record last updated
- Apr 28, 2026
- Medicare enrollment
- Enrolled (PECOS I20110919000350); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 280 Smith Ave N Ste 220
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sarah Addicks, PHDClinical Psychologist1548747918
- Mohamed Alfath, DOPhysical Medicine & Rehabilitation Physician1528593951
- Shantel Gassman, PHD LPPsychologist1427574565
- Thida Han, PSYD, LPPsychologist1831533819
- Margarita McGuire, MDPhysical Medicine & Rehabilitation Physician1336343474
- Margaret Mulderig, M.D.Physical Medicine & Rehabilitation Physician1306898556
Verify Jackie Lyn Micklewright in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license LP5324Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 83.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 2 group practices
- Allina Health SystemSt Paul, MN
- Healthwise Psychology PAMaple Grove, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Clinical Neuropsychologist providers in Minnesota
There are 133 clinical neuropsychologist records in Minnesota.
Other clinical neuropsychologist records in Minnesota
- Elizabeth Adams, PHD LPSaint Paul, MN1518160738
- Oluwatosin Alabi, PH.D., LP, MHASaint Paul, MN1720691884
- Jeremy Alden, PHD LPSt Paul, MN1376656991
- David Alter, PHD LPMinnetonka, MN1912041492
- Carolyn Anderson, PH.D.Minneapolis, MN1245663871
- Nicole Anderson, PHDMinneapolis, MN1518432046
- Catherine Avery, PH.D.Saint Paul, MN1184872897
- Terry Barclay, PHD, LPSaint Paul, MN1770637431
- Kimberly Bares, PH.D.Minneapolis, MN1578573671
- Thomas Beniak, PHDMinneapolis, MN1043227515
Common questions
What is Jackie Lyn Micklewright, PHD's NPI number?
Jackie Lyn Micklewright, PHD's National Provider Identifier (NPI) is 1669705638, issued on Sep 9, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Jackie Lyn Micklewright, PHD located?
The NPPES record lists a practice address at 280 Smith Ave N Ste 220, Saint Paul, MN, 55102. Phone: (651) 241-8295. Providers update this record themselves, so call before visiting.
How can I verify Jackie Lyn Micklewright, PHD's license?
NPPES lists Minnesota license number LP5324, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
What is Jackie Lyn Micklewright, PHD's MIPS final score?
The 2023 MIPS final score is 83.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.