NPPES file of Aug 9, 2026

Jacklyn Mae Ellickson, MD

Endocrinology, Diabetes & Metabolism Physician · Saint Paul, MN

Jacklyn Mae Ellickson, MD is an endocrinology, diabetes & metabolism physician with a practice address in Saint Paul, Minnesota, and NPI 1538395496, issued on Jun 5, 2009. Check the license (Minnesota 53921, as entered in NPPES) on the Minnesota Board of Medical Practice; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1538395496
Name
Jacklyn Mae Ellickson
Credential
MD
Primary taxonomy
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
License numbers
53921 MN
62721-20 WI
Self-reported in NPPES; status is on the state search
Practice location
401 Phalen Blvd, Saint Paul, MN 55130
Phone
(651) 254-7870
Enumerated
Jun 5, 2009
Record last updated
Mar 17, 2022
Fax
(651) 254-7876
Medicare enrollment
Enrolled (PECOS I20110922000086); accepts Medicare assignment
Medical or professional school
University Of Wisconsin School Of Medicine, 2008
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 401 Phalen Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Nermine AbdelwahabInternal Medicine Physician1871158600
  2. Omobosola Akinsete, M.D.Infectious Disease Physician1891749214
  3. Rayhaan Akram, MDRheumatology Physician1457871659
  4. Jonathan AlpernInfectious Disease Physician1568753028
  5. Mollie Alpern, M.D.Allergy & Immunology Physician1467794644
  6. Roula Altisheh, M.DAllergy & Immunology Physician1609132125

Verify Jacklyn Mae Ellickson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMinnesota Board of Medical Practice
    Search for license 53921
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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15% more Medicare Part D claims than the average endocrinology, diabetes & metabolism physician in 2024

3,035 Medicare Part D claims for 351 beneficiaries, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 46% of claims.

  1. Jacklyn Ellickson3,035
  2. Specialty average2,630

Most prescribed

  1. Levothyroxine Sodium296 claims
  2. Metformin Hcl Er214 claims
  3. Lantus Solostar173 claims
  4. Ozempic169 claims
  5. Jardiance153 claims
  6. Mounjaro153 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $25.04

1 payment: food and beverage; the largest payer was Dexcom, Inc. The 5,661 providers of this specialty with any payment received $5,742.15 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jacklyn Ellickson$25.04
  2. Specialty average$5,742.15

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Group Health Plan IncSaint Paul, MN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jacklyn Mae Ellickson among 203 endocrinology, diabetes & metabolism physician records in Minnesota

Jacklyn Mae Ellickson, MD is one of 203 endocrinology, diabetes & metabolism physician records with a practice address in Minnesota. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 67% of them.

  • NPI issued2009 · 67% of these records are older, 31% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 70% of these records are
  • Graduated2008 · median 2003 among the 142 with a school on file
  • Record last updated2022 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Endocrinology, Diabetes & Metabolism Physician providers in Minnesota

There are 203 endocrinology, diabetes & metabolism physician records in Minnesota.

The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes

  1. Dionysia Kalogeropoulou, MDSaint Paul, MN 551301679765762
  2. Jasleen Kaur, MDSaint Paul, MN 551301720501810
  3. Christopher Kodl, M.D.Saint Paul, MN 551301174580336
  4. Gregory Mucha, MDSaint Paul, MN 551301215902119
  5. Sarang PatelSaint Paul, MN 551301174865570
  6. Siwadon Pitukweerakul, M.D.Saint Paul, MN 551301487063087
  7. Marco Ruiz Santillan, MDSaint Paul, MN 551301831508654
  8. Jutarat Sangtian, M.D.Saint Paul, MN 551301568844587

Common questions

What is Jacklyn Mae Ellickson, MD's NPI number?

Jacklyn Mae Ellickson, MD's National Provider Identifier (NPI) is 1538395496, issued on Jun 5, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Jacklyn Mae Ellickson, MD located?

The NPPES record lists a practice address at 401 Phalen Blvd, Saint Paul, MN, 55130. Phone: (651) 254-7870. Providers update this record themselves, so call before visiting.

How can I verify Jacklyn Mae Ellickson, MD's license?

NPPES lists Minnesota license number 53921, as entered by the provider. Search the Minnesota Board of Medical Practice at https://mn.gov/boards/medical-practice/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Jacklyn Mae Ellickson, MD prescribe under Medicare Part D?

In 2024, Jacklyn Mae Ellickson, MD had 3,035 Medicare Part D claims for 351 beneficiaries; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.

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.